In short

J1250 is the HCPCS Level II code for injection, dobutamine hydrochloride, per 250 mg. CMS assigns NDCs for Dobutamine HCl and Dobutamine HCl In Dextrose to it. One billing unit is 250 mg. The Medicare Part B payment limit is $8.875 per unit (October 1, 2026 through December 31, 2026).

Code

CMS HCPCS file
HCPCS codeJ1250
Billing unit250 mg
Descriptor
Injection, dobutamine hydrochloride, per 250 mg
Short descriptor
Inj dobutamine hcl/250 mg
Code set
HCPCS Level II, maintained by CMS
Effective
Jan 1, 1997

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$8.875
Per250 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 ÷ 250 mg. For example, 25000 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 J1250

CMS’s ASP NDC–HCPCS crosswalk (effective October 1, 2026 through December 31, 2026) assigns 17 NDCs to J1250 for Dobutamine HCl and Dobutamine HCl In Dextrose. Billing units per package are CMS’s figures for this code’s unit.

NDCs assigned to J1250 in the CMS ASP crosswalk
DrugNDC (11-digit)LabelerPackageBilling units per package
Dobutamine HCl00143-9141-10Hikma Pharmaceuticals USA Inc.10 × 2010
Dobutamine HCl00338-1073-02Baxter Healthcare Corporation18 × 25018
Dobutamine HCl00338-1075-02Baxter Healthcare Corporation18 × 25036
Dobutamine HCl00338-1077-02Baxter Healthcare Corporation18 × 25072
Dobutamine HCl00409-2344-01Pfizer Inc201
Dobutamine HCl00409-2344-02Pfizer Inc10 × 2010
Dobutamine HCl00409-2344-88Pfizer Inc10 × 2010
Dobutamine HCl50090-4562-00A-S Medication Solutions2504
Dobutamine HCl51662-1330-01HF Acquisition Co. LLC, DBA HealthFirst2502
Dobutamine HCl51662-1337-01HF Acquisition Co. LLC, DBA HealthFirst201
Dobutamine HCl51662-1337-03HF Acquisition Co. LLC, DBA HealthFirst10 × 2010
Dobutamine HCl51662-1566-01HF Acquisition Co. LLC, DBA HealthFirst2501
Dobutamine HCl70436-0203-80Slate Run Pharmaceuticals201
Dobutamine HCl70436-0203-82Slate Run Pharmaceuticals10 × 2010
Dobutamine HCl In Dextrose00409-0025-10Hospira, Inc.12 × 25012
Dobutamine HCl In Dextrose00409-0151-10Hospira, Inc.12 × 25024
Dobutamine HCl In Dextrose00409-1100-10Hospira, Inc.12 × 25048

J1250: common questions

Is J1250 a CPT code?
No. J1250 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 J1250?
CMS's ASP crosswalk for October 1, 2026 through December 31, 2026 lists 17 NDCs under J1250, for Dobutamine HCl and Dobutamine HCl In Dextrose. The table on this page shows each one with its billing units per package.
What is the Medicare payment limit for J1250?
$8.875 per 250 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 J1250?
One unit of J1250 is 250 mg, as stated in the code's descriptor. Units to report = dose given ÷ 250 mg. J-code billing units.

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