In short

J1171 is the HCPCS Level II code for injection, hydromorphone, 0.1 mg. CMS assigns NDCs for Dilaudid and Hydromorphone HCl to it. One billing unit is 0.1 mg. The Medicare Part B payment limit is $0.224 per unit (October 1, 2026 through December 31, 2026).

Code

CMS HCPCS file
HCPCS codeJ1171
Billing unit0.1 mg
Descriptor
Injection, hydromorphone, 0.1 mg
Short descriptor
Inj, hydromorphone, 0.1 mg
Code set
HCPCS Level II, maintained by CMS
Effective
Jan 1, 2025

The billing unit is read from the descriptor. Confirm it against the CMS file before billing.

Medicare Part B payment limit

CMS ASP file
Payment limit per unit$0.224
Per0.1 mg
Coinsurance20%

Effective October 1, 2026 through December 31, 2026. Payment allowance limits subject to the ASP methodology are based on 2Q26 ASP data. A payment limit is not a coverage decision; the Medicare contractor decides coverage. CMS ASP pricing files

Units and claim line

Units = dose given ÷ 0.1 mg. For example, 10 mg is 100 units. Enter the dose to get the units and the NDC line for the CMS-1500 and the 837P.

Enter the dose given to build the claim line.

NDCs billed under J1171

CMS’s ASP NDC–HCPCS crosswalk (effective October 1, 2026 through December 31, 2026) assigns 29 NDCs to J1171 for Dilaudid and Hydromorphone HCl. Billing units per package are CMS’s figures for this code’s unit.

NDCs assigned to J1171 in the CMS ASP crosswalk
DrugNDC (11-digit)LabelerPackageBilling units per package
Dilaudid76045-0009-06FreseniUS Kabi USA, LLC10 × 0.550
Dilaudid76045-0009-11FreseniUS Kabi USA, LLC10 × 1100
Dilaudid76045-0010-11FreseniUS Kabi USA, LLC10 × 1200
Hydromorphone HCl00409-1283-31Pfizer Inc10 × 1100
Hydromorphone HCl00409-1283-37Pfizer Inc10 × 1100
Hydromorphone HCl00409-1304-31Pfizer Inc10 × 1400
Hydromorphone HCl00409-1312-30Pfizer Inc10 × 1200
Hydromorphone HCl00409-1312-36Pfizer Inc10 × 1200
Hydromorphone HCl00409-1805-01Pfizer Inc10 × 0.525
Hydromorphone HCl00409-2634-01Pfizer Inc10 × 11,000
Hydromorphone HCl00409-2634-05Pfizer Inc10 × 55,000
Hydromorphone HCl00409-2634-50Pfizer Inc505,000
Hydromorphone HCl00409-3365-10Pfizer Inc10 × 1200
Hydromorphone HCl00409-4264-01Pfizer Inc10 × 0.550
Hydromorphone HCl00641-2341-41Hikma Pharmaceuticals USA Inc.20400
Hydromorphone HCl00641-6151-25Hikma Pharmaceuticals USA Inc.25 × 1500
Hydromorphone HCl00641-6169-10Hikma Pharmaceuticals USA Inc.10 × 1100
Hydromorphone HCl00641-6206-10Hikma Pharmaceuticals USA Inc.10 × 0.550
Hydromorphone HCl00641-6259-10Hikma Pharmaceuticals USA Inc.10 × 120
Hydromorphone HCl00703-0018-01Teva Parenteral Medicines, Inc.505,000
Hydromorphone HCl00703-0110-03Teva Parenteral Medicines, Inc.10 × 11,000
Hydromorphone HCl00703-0113-03Teva Parenteral Medicines, Inc.10 × 55,000
Hydromorphone HCl63323-0851-10FreseniUS Kabi USA, LLC10 × 11,000
Hydromorphone HCl63323-0851-15FreseniUS Kabi USA, LLC10 × 55,000
Hydromorphone HCl63323-0851-50FreseniUS Kabi USA, LLC505,000
Hydromorphone HCl63323-0852-25FreseniUS Kabi USA, LLC25 × 1250
Hydromorphone HCl63323-0853-25FreseniUS Kabi USA, LLC25 × 1500
Hydromorphone HCl63323-0854-10FreseniUS Kabi USA, LLC25 × 11,000
Hydromorphone HCl76045-0121-11FreseniUS Kabi USA, LLC10 × 120

J1171: common questions

Is J1171 a CPT code?
No. J1171 is a HCPCS Level II code, maintained by CMS, that identifies the drug supplied. CPT codes are five-digit numbers from the AMA that describe services. Giving the drug, for example an injection or infusion, is usually reported with a separate CPT administration code. CPT codes for drug administration.
What NDCs are billed under J1171?
CMS's ASP crosswalk for October 1, 2026 through December 31, 2026 lists 29 NDCs under J1171, for Dilaudid and Hydromorphone HCl. The table on this page shows each one with its billing units per package.
What is the Medicare payment limit for J1171?
$0.224 per 0.1 mg, effective October 1, 2026 through December 31, 2026, from CMS's Part B drug payment limit file. Multiply by the units billed for the allowed amount before deductible and coinsurance. It is not a coverage decision.
What is one billing unit of J1171?
One unit of J1171 is 0.1 mg, as stated in the code's descriptor. Units to report = dose given ÷ 0.1 mg. J-code billing units.

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