HCPCS Level II drug code
J1265 — Injection, dopamine hcl, 40 mg
In short
J1265 is the HCPCS Level II code for injection, dopamine hcl, 40 mg. CMS assigns NDCs for Dopamine and Dopamine in D5W to it. One billing unit is 40 mg. The Medicare Part B payment limit is $0.823 per unit (October 1, 2026 through December 31, 2026).
Code
CMS HCPCS file- Descriptor
- Injection, dopamine hcl, 40 mg
- Short descriptor
- Dopamine injection
- Code set
- HCPCS Level II, maintained by CMS
- Effective
- Jan 1, 2006
The billing unit is read from the descriptor. Confirm it against the CMS file before billing.
Medicare Part B payment limit
CMS ASP fileEffective 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 ÷ 40 mg. For example, 4000 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 J1265
CMS’s ASP NDC–HCPCS crosswalk (effective October 1, 2026 through December 31, 2026) assigns 26 NDCs to J1265 for Dopamine and Dopamine in D5W. Billing units per package are CMS’s figures for this code’s unit.
| Drug | NDC (11-digit) | Labeler | Package | Billing units per package |
|---|---|---|---|---|
| Dopamine | 00143-9252-25 | Hikma Pharmaceuticals USA Inc. | 25 × 5 | 125 |
| Dopamine | 00143-9254-25 | Hikma Pharmaceuticals USA Inc. | 25 × 10 | 250 |
| Dopamine | 00404-9981-10 | Henry Schein Inc. | 10 | 10 |
| Dopamine | 00404-9982-05 | Henry Schein Inc. | 5 | 5 |
| Dopamine | 00409-5820-01 | Pfizer Inc | 25 × 5 | 125 |
| Dopamine | 00409-7809-22 | Pfizer Inc | 12 × 250 | 120 |
| Dopamine | 00409-7809-24 | Pfizer Inc | 12 × 500 | 240 |
| Dopamine | 00409-7810-22 | Pfizer Inc | 12 × 250 | 240 |
| Dopamine | 00409-9104-20 | Pfizer Inc | 25 × 10 | 250 |
| Dopamine | 51662-1220-01 | HF Acquisition Co. LLC, DBA HealthFirst | 10 | 10 |
| Dopamine | 51662-1220-03 | HF Acquisition Co. LLC, DBA HealthFirst | 25 × 10 | 250 |
| Dopamine | 51662-1291-01 | HF Acquisition Co. LLC, DBA HealthFirst | 5 | 5 |
| Dopamine | 51662-1291-03 | HF Acquisition Co. LLC, DBA HealthFirst | 25 × 5 | 125 |
| Dopamine | 51662-1489-01 | HF Acquisition Co. LLC, DBA HealthFirst | 5 | 5 |
| Dopamine | 51662-1489-03 | HF Acquisition Co. LLC, DBA HealthFirst | 25 × 5 | 125 |
| Dopamine | 51662-1490-01 | HF Acquisition Co. LLC, DBA HealthFirst | 10 | 10 |
| Dopamine in D5W | 00409-0042-12 | Pfizer Inc | 12 × 250 | 120 |
| Dopamine in D5W | 00409-1858-12 | Pfizer Inc | 12 × 250 | 240 |
| Dopamine in D5W | 51662-1316-01 | HF Acquisition Co. LLC, DBA HealthFirst | 250 | 10 |
| Dopamine in D5W | 51662-1316-03 | HF Acquisition Co. LLC, DBA HealthFirst | 12 × 250 | 120 |
| Dopamine in D5W | 51662-1458-01 | HF Acquisition Co. LLC, DBA HealthFirst | 500 | 20 |
| Dopamine In D5W | 00338-1005-02 | Baxter Healthcare Corporation | 18 × 250 | 90 |
| Dopamine In D5W | 00338-1005-03 | Baxter Healthcare Corporation | 12 × 500 | 120 |
| Dopamine In D5W | 00338-1007-02 | Baxter Healthcare Corporation | 18 × 250 | 180 |
| Dopamine In D5W | 00338-1007-03 | Baxter Healthcare Corporation | 12 × 500 | 240 |
| Dopamine In D5W | 00338-1009-02 | Baxter Healthcare Corporation | 18 × 250 | 360 |
J1265: common questions
- Is J1265 a CPT code?
- No. J1265 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 J1265?
- CMS's ASP crosswalk for October 1, 2026 through December 31, 2026 lists 26 NDCs under J1265, for Dopamine and Dopamine in D5W. The table on this page shows each one with its billing units per package.
- What is the Medicare payment limit for J1265?
- $0.823 per 40 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 J1265?
- One unit of J1265 is 40 mg, as stated in the code's descriptor. Units to report = dose given ÷ 40 mg. J-code billing units.