In short

J1836 is the HCPCS Level II code for injection, metronidazole, 10 mg. CMS assigns NDCs for Metronidazole to it. One billing unit is 10 mg. The Medicare Part B payment limit is $0.034 per unit (October 1, 2026 through December 31, 2026).

Code

CMS HCPCS file
HCPCS codeJ1836
Billing unit10 mg
Descriptor
Injection, metronidazole, 10 mg
Short descriptor
Inj, metronidazole, 10 mg
Code set
HCPCS Level II, maintained by CMS
Effective
Jan 1, 2024

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$0.034
Per10 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 ÷ 10 mg. For example, 1000 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 J1836

CMS’s ASP NDC–HCPCS crosswalk (effective October 1, 2026 through December 31, 2026) assigns 8 NDCs to J1836 for Metronidazole. Billing units per package are CMS’s figures for this code’s unit.

NDCs assigned to J1836 in the CMS ASP crosswalk
DrugNDC (11-digit)LabelerPackageBilling units per package
Metronidazole00264-5535-32B. Braun Medical Inc.24 × 1001,200
Metronidazole00338-1055-48Baxter Healthcare Corporation24 × 1001,200
Metronidazole00338-9541-24Baxter Healthcare Corporation24 × 1001,200
Metronidazole00404-9991-00Henry Schein Inc.10050
Metronidazole00409-0152-24Pfizer Inc24 × 1001,200
Metronidazole25021-0131-82Sagent Pharmaceuticals24 × 1001,200
Metronidazole72572-0540-24Civica, Inc.24 × 1001,200
Metronidazole80830-2465-09Amneal Pharmaceuticals, LLC24 × 1001,200

J1836: common questions

Is J1836 a CPT code?
No. J1836 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 J1836?
CMS's ASP crosswalk for October 1, 2026 through December 31, 2026 lists 8 NDCs under J1836, for Metronidazole. The table on this page shows each one with its billing units per package.
What is the Medicare payment limit for J1836?
$0.034 per 10 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 J1836?
One unit of J1836 is 10 mg, as stated in the code's descriptor. Units to report = dose given ÷ 10 mg. J-code billing units.

Free account

Keep searching with a free account

You’ve used your 3 free searches for this session. Log in or create a free Med-Code account to keep looking up NDCs, J-codes and drugs.

Create a free accountLog in