In short

J1240 is the HCPCS Level II code for injection, dimenhydrinate, up to 50 mg. CMS assigns NDCs for Dimenhydrinate to it. The Medicare Part B payment limit is $9.394 per unit (October 1, 2026 through December 31, 2026).

Code

CMS HCPCS file
HCPCS codeJ1240
Billing unitSee descriptor
Descriptor
Injection, dimenhydrinate, up to 50 mg
Short descriptor
Dimenhydrinate injection
Code set
HCPCS Level II, maintained by CMS
Effective
Jan 1, 1997

Medicare Part B payment limit

CMS ASP file
Payment limit per unit$9.394
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 J1240

CMS’s ASP NDC–HCPCS crosswalk (effective October 1, 2026 through December 31, 2026) assigns 1 NDC to J1240 for Dimenhydrinate. Billing units per package are CMS’s figures for this code’s unit.

NDCs assigned to J1240 in the CMS ASP crosswalk
DrugNDC (11-digit)LabelerPackageBilling units per package
Dimenhydrinate63323-0366-01FreseniUS Kabi USA, LLC25 × 125

J1240: common questions

Is J1240 a CPT code?
No. J1240 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 J1240?
CMS's ASP crosswalk for October 1, 2026 through December 31, 2026 lists 1 NDC under J1240, for Dimenhydrinate. The table on this page shows each one with its billing units per package.
What is the Medicare payment limit for J1240?
$9.394 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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