In short

J1430 is the HCPCS Level II code for injection, ethanolamine oleate, 100 mg. CMS assigns NDCs for Ethanolamine Oleate to it. One billing unit is 100 mg. The Medicare Part B payment limit is $533.768 per unit (October 1, 2026 through December 31, 2026).

Code

CMS HCPCS file
HCPCS codeJ1430
Billing unit100 mg
Descriptor
Injection, ethanolamine oleate, 100 mg
Short descriptor
Ethanolamine oleate 100 mg
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 file
Payment limit per unit$533.768
Per100 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 ÷ 100 mg. For example, 10000 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 J1430

CMS’s ASP NDC–HCPCS crosswalk (effective October 1, 2026 through December 31, 2026) assigns 1 NDC to J1430 for Ethanolamine Oleate. Billing units per package are CMS’s figures for this code’s unit.

NDCs assigned to J1430 in the CMS ASP crosswalk
DrugNDC (11-digit)LabelerPackageBilling units per package
Ethanolamine Oleate67871-4790-06QOL Medical, LLC.10 × 210

J1430: common questions

Is J1430 a CPT code?
No. J1430 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 J1430?
CMS's ASP crosswalk for October 1, 2026 through December 31, 2026 lists 1 NDC under J1430, for Ethanolamine Oleate. The table on this page shows each one with its billing units per package.
What is the Medicare payment limit for J1430?
$533.768 per 100 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 J1430?
One unit of J1430 is 100 mg, as stated in the code's descriptor. Units to report = dose given ÷ 100 mg. J-code billing units.

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