HCPCS Level II drug code
J1958 — Injection, levetiracetam in sodium chloride, 5 mg
In short
J1958 is the HCPCS Level II code for injection, levetiracetam in sodium chloride, 5 mg. CMS assigns NDCs for Levetiracetam to it. One billing unit is 5 mg. The Medicare Part B payment limit is $0.033 per unit (October 1, 2026 through December 31, 2026).
Code
CMS HCPCS file- Descriptor
- Injection, levetiracetam in sodium chloride, 5 mg
- Short descriptor
- Inj levetirac sodi chlo 5 mg
- Code set
- HCPCS Level II, maintained by CMS
- Effective
- Oct 1, 2026
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. CMS note: Added October 2026. 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 J1958
CMS’s ASP NDC–HCPCS crosswalk (effective October 1, 2026 through December 31, 2026) assigns 40 NDCs to J1958 for Levetiracetam. Billing units per package are CMS’s figures for this code’s unit.
| Drug | NDC (11-digit) | Labeler | Package | Billing units per package |
|---|---|---|---|---|
| Levetiracetam | 00143-9281-10 | Hikma Pharmaceuticals USA Inc. | 10 × 100 | 1,000 |
| Levetiracetam | 00143-9282-10 | Hikma Pharmaceuticals USA Inc. | 10 × 100 | 2,000 |
| Levetiracetam | 00143-9283-10 | Hikma Pharmaceuticals USA Inc. | 10 × 100 | 3,000 |
| Levetiracetam | 00264-1009-90 | B. Braun Medical Inc. | 24 × 100 | 4,800 |
| Levetiracetam | 00264-1509-90 | B. Braun Medical Inc. | 24 × 100 | 7,200 |
| Levetiracetam | 00264-5009-90 | B. Braun Medical Inc. | 24 × 100 | 2,400 |
| Levetiracetam | 14789-0110-05 | Nexus Pharmaceuticals, LLC | 10 × 100 | 1,000 |
| Levetiracetam | 14789-0220-10 | Nexus Pharmaceuticals, LLC | 10 × 100 | 2,000 |
| Levetiracetam | 14789-0330-15 | Nexus Pharmaceuticals, LLC | 10 × 100 | 3,000 |
| Levetiracetam | 25021-0793-82 | Sagent Pharmaceuticals | 10 × 100 | 1,000 |
| Levetiracetam | 25021-0794-82 | Sagent Pharmaceuticals | 10 × 100 | 2,000 |
| Levetiracetam | 25021-0795-82 | Sagent Pharmaceuticals | 10 × 100 | 3,000 |
| Levetiracetam | 36000-0352-40 | Baxter Healthcare Corporation | 24 × 100 | 2,400 |
| Levetiracetam | 36000-0354-40 | Baxter Healthcare Corporation | 24 × 100 | 7,200 |
| Levetiracetam | 36000-0356-40 | Baxter Healthcare Corporation | 24 × 100 | 4,800 |
| Levetiracetam | 43598-0635-10 | Dr. Reddy's Laboratories Inc. | 10 × 100 | 1,000 |
| Levetiracetam | 43598-0636-10 | Dr. Reddy's Laboratories Inc. | 10 × 100 | 2,000 |
| Levetiracetam | 43598-0637-10 | Dr. Reddy's Laboratories Inc. | 10 × 100 | 3,000 |
| Levetiracetam | 43598-0755-10 | Dr. Reddy's Laboratories Inc. | 10 × 100 | 1,000 |
| Levetiracetam | 43598-0757-10 | Dr. Reddy's Laboratories Inc. | 10 × 100 | 2,000 |
| Levetiracetam | 43598-0759-10 | Dr. Reddy's Laboratories Inc. | 10 × 100 | 3,000 |
| Levetiracetam | 44567-0501-10 | WG Critical Care, LLC | 10 × 100 | 1,000 |
| Levetiracetam | 44567-0501-90 | WG Critical Care, LLC | 10 × 100 | 1,000 |
| Levetiracetam | 44567-0502-10 | WG Critical Care, LLC | 10 × 100 | 2,000 |
| Levetiracetam | 44567-0503-10 | WG Critical Care, LLC | 10 × 100 | 3,000 |
| Levetiracetam | 55150-0246-47 | Eugia US LLC | 10 × 100 | 1,000 |
| Levetiracetam | 55150-0247-47 | Eugia US LLC | 10 × 100 | 2,000 |
| Levetiracetam | 55150-0248-47 | Eugia US LLC | 10 × 100 | 3,000 |
| Levetiracetam | 65145-0173-10 | Caplin Steriles USA Inc. | 10 × 100 | 1,000 |
| Levetiracetam | 65145-0174-10 | Caplin Steriles USA Inc. | 10 × 100 | 2,000 |
| Levetiracetam | 65145-0175-10 | Caplin Steriles USA Inc. | 10 × 100 | 3,000 |
| Levetiracetam | 65219-0042-71 | FreseniUS Kabi USA, LLC | 24 × 100 | 2,400 |
| Levetiracetam | 65219-0044-71 | FreseniUS Kabi USA, LLC | 24 × 100 | 4,800 |
| Levetiracetam | 65219-0046-71 | FreseniUS Kabi USA, LLC | 24 × 100 | 7,200 |
| Levetiracetam | 67457-0255-10 | Mylan Institutional LLC | 10 × 100 | 1,000 |
| Levetiracetam | 67457-0265-10 | Mylan Institutional LLC | 10 × 100 | 2,000 |
| Levetiracetam | 67457-0266-10 | Mylan Institutional LLC | 10 × 100 | 3,000 |
| Levetiracetam | 70069-0845-10 | Somerset Pharma, LLC | 10 × 100 | 1,000 |
| Levetiracetam | 70069-0846-10 | Somerset Pharma, LLC | 10 × 100 | 2,000 |
| Levetiracetam | 70069-0847-10 | Somerset Pharma, LLC | 10 × 100 | 3,000 |
J1958: common questions
- Is J1958 a CPT code?
- No. J1958 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 J1958?
- CMS's ASP crosswalk for October 1, 2026 through December 31, 2026 lists 40 NDCs under J1958, for Levetiracetam. The table on this page shows each one with its billing units per package.
- What is the Medicare payment limit for J1958?
- $0.033 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 J1958?
- One unit of J1958 is 5 mg, as stated in the code's descriptor. Units to report = dose given ÷ 5 mg. J-code billing units.