In short

J1200 is the HCPCS Level II code for injection, diphenhydramine hcl, up to 50 mg. CMS assigns NDCs for Diphenhydramine HCl to it. The Medicare Part B payment limit is $0.855 per unit (October 1, 2026 through December 31, 2026).

Code

CMS HCPCS file
HCPCS codeJ1200
Billing unitSee descriptor
Descriptor
Injection, diphenhydramine hcl, up to 50 mg
Short descriptor
Diphenhydramine hcl injectio
Code set
HCPCS Level II, maintained by CMS
Effective
Jan 1, 1997

Medicare Part B payment limit

CMS ASP file
Payment limit per unit$0.855
Per50 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

Enter the dose to get the units and the NDC line for the CMS-1500 and the 837P.

Enter the units to build the claim line.

NDCs billed under J1200

CMS’s ASP NDC–HCPCS crosswalk (effective October 1, 2026 through December 31, 2026) assigns 18 NDCs to J1200 for Diphenhydramine HCl. Billing units per package are CMS’s figures for this code’s unit.

NDCs assigned to J1200 in the CMS ASP crosswalk
DrugNDC (11-digit)LabelerPackageBilling units per package
Diphenhydramine Hcl00641-0376-25Hikma Pharmaceuticals USA Inc.25 × 125
Diphenhydramine Hcl63323-0664-01FreseniUS Kabi USA, LLC25 × 125
Diphenhydramine Hcl63323-0664-16FreseniUS Kabi USA, LLC25 × 125
Diphenhydramine Hcl72485-0101-25Armas Pharmaceuticals Inc.25 × 125
Diphenhydramine Hcl76045-0102-10FreseniUS Kabi USA, LLC24 × 124
Diphenhydramine HCl00404-9851-01Henry Schein Inc.11
Diphenhydramine HCl00641-6282-25Hikma Pharmaceuticals USA Inc.25 × 125
Diphenhydramine HCl23155-0263-31Heritage Pharmaceuticals Inc.1010
Diphenhydramine HCl23155-0264-41Heritage Pharmaceuticals Inc.25 × 125
Diphenhydramine HCl25021-0481-01Sagent Pharmaceuticals25 × 125
Diphenhydramine HCl42571-0337-87Micro Labs Limited25 × 125
Diphenhydramine HCl42571-0511-56Micro Labs Limited1010
Diphenhydramine HCl50090-0878-00A-S Medication Solutions11
Diphenhydramine HCl50090-1841-00A-S Medication Solutions25 × 125
Diphenhydramine HCl51662-1219-01HF Acquisition Co. LLC, DBA HealthFirst11
Diphenhydramine HCl51662-1219-03HF Acquisition Co. LLC, DBA HealthFirst25 × 125
Diphenhydramine HCl72485-0101-05Armas Pharmaceuticals Inc.5 × 15
Diphenhydramine HCl83634-0781-01Avenacy Inc.25 × 125

J1200: common questions

Is J1200 a CPT code?
No. J1200 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 J1200?
CMS's ASP crosswalk for October 1, 2026 through December 31, 2026 lists 18 NDCs under J1200, for Diphenhydramine HCl. The table on this page shows each one with its billing units per package.
What is the Medicare payment limit for J1200?
$0.855 per 50 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.

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