Code

CMS HCPCS file
HCPCS codeJ1942
Billing unit1 mg
Descriptor
Injection, aripiprazole lauroxil, 1 mg
Short descriptor
Aripiprazole lauroxil 1mg
Code set
HCPCS Level II, maintained by CMS
Effective
Oct 1, 2019

The billing unit is read from the descriptor. Confirm it against the CMS file before billing.

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J1942: common questions

Is J1942 a CPT code?
No. J1942 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 is one billing unit of J1942?
One unit of J1942 is 1 mg, as stated in the code's descriptor. Units to report = dose given ÷ 1 mg. J-code billing units.

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