HCPCS Level II drug code
J1920 — Injection, labetalol hydrochloride, 5 mg
In short
J1920 is the HCPCS Level II code for injection, labetalol hydrochloride, 5 mg. CMS assigns NDCs for Labetalol HCl to it. One billing unit is 5 mg. The Medicare Part B payment limit is $0.588 per unit (October 1, 2026 through December 31, 2026).
Code
CMS HCPCS file- Descriptor
- Injection, labetalol hydrochloride, 5 mg
- Short descriptor
- Inj, labetalol hcl, 5mg
- 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 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 ÷ 5 mg. For example, 500 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 J1920
CMS’s ASP NDC–HCPCS crosswalk (effective October 1, 2026 through December 31, 2026) assigns 23 NDCs to J1920 for Labetalol HCl. Billing units per package are CMS’s figures for this code’s unit.
| Drug | NDC (11-digit) | Labeler | Package | Billing units per package |
|---|---|---|---|---|
| Labetalol HCl | 00143-9320-01 | Hikma Pharmaceuticals USA Inc. | 20 | 20 |
| Labetalol HCl | 00143-9622-01 | Hikma Pharmaceuticals USA Inc. | 20 | 20 |
| Labetalol HCl | 00143-9623-01 | Hikma Pharmaceuticals USA Inc. | 40 | 40 |
| Labetalol HCl | 00409-0125-25 | Pfizer Inc | 25 × 20 | 500 |
| Labetalol HCl | 00409-2267-54 | Pfizer Inc | 40 | 40 |
| Labetalol HCl | 00409-2339-34 | Pfizer Inc | 10 × 4 | 40 |
| Labetalol HCl | 25021-0317-20 | Sagent Pharmaceuticals | 20 | 20 |
| Labetalol HCl | 25021-0317-40 | Sagent Pharmaceuticals | 40 | 40 |
| Labetalol HCl | 36000-0320-10 | Baxter Healthcare Corporation | 10 × 4 | 40 |
| Labetalol HCl | 36000-0322-02 | Baxter Healthcare Corporation | 20 | 20 |
| Labetalol HCl | 36000-0324-02 | Baxter Healthcare Corporation | 40 | 40 |
| Labetalol HCl | 51662-1228-01 | HF Acquisition Co. LLC, DBA HealthFirst | 20 | 20 |
| Labetalol HCl | 51662-1602-01 | HF Acquisition Co. LLC, DBA HealthFirst | 20 | 20 |
| Labetalol HCl | 51662-1602-09 | HF Acquisition Co. LLC, DBA HealthFirst | 20 | 20 |
| Labetalol HCl | 65145-0124-01 | Caplin Steriles USA Inc. | 20 | 20 |
| Labetalol HCl | 65145-0125-01 | Caplin Steriles USA Inc. | 40 | 40 |
| Labetalol HCl | 70121-2428-03 | Amneal Pharmaceuticals, LLC | 24 × 4 | 96 |
| Labetalol HCl | 72266-0102-01 | Fosun Pharma USA Inc. | 20 | 20 |
| Labetalol HCl | 72266-0103-01 | Fosun Pharma USA Inc. | 40 | 40 |
| Labetalol HCl | 72266-0103-41 | Fosun Pharma USA Inc. | 40 | 40 |
| Labetalol HCl | 72572-0350-01 | Civica, Inc. | 20 | 20 |
| Labetalol HCl | 72603-0146-01 | Northstar RxLLC | 20 | 20 |
| Labetalol HCl | 83301-0059-01 | Mullan Pharmaceutical Inc. | 40 | 40 |
J1920: common questions
- Is J1920 a CPT code?
- No. J1920 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 J1920?
- CMS's ASP crosswalk for October 1, 2026 through December 31, 2026 lists 23 NDCs under J1920, for Labetalol HCl. The table on this page shows each one with its billing units per package.
- What is the Medicare payment limit for J1920?
- $0.588 per 5 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 J1920?
- One unit of J1920 is 5 mg, as stated in the code's descriptor. Units to report = dose given ÷ 5 mg. J-code billing units.