In short

J2250 is the HCPCS Level II code for injection, midazolam hydrochloride, per 1 mg. CMS assigns NDCs for Midazolam and Midazolam HCl to it. One billing unit is 1 mg. The Medicare Part B payment limit is $0.167 per unit (October 1, 2026 through December 31, 2026).

Code

CMS HCPCS file
HCPCS codeJ2250
Billing unit1 mg
Descriptor
Injection, midazolam hydrochloride, per 1 mg
Short descriptor
Inj midazolam hydrochloride
Code set
HCPCS Level II, maintained by CMS
Effective
Jan 1, 1997

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$0.167
Per1 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 ÷ 1 mg. For example, 100 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 J2250

CMS’s ASP NDC–HCPCS crosswalk (effective October 1, 2026 through December 31, 2026) assigns 55 NDCs to J2250 for Midazolam and Midazolam HCl. Billing units per package are CMS’s figures for this code’s unit.

NDCs assigned to J2250 in the CMS ASP crosswalk
DrugNDC (11-digit)LabelerPackageBilling units per package
Midazolam00409-0001-25Pfizer Inc25 × 250
Midazolam25021-0655-02Sagent Pharmaceuticals10 × 220
Midazolam25021-0661-10Sagent Pharmaceuticals10 × 10500
Midazolam HCl00404-9780-10Henry Schein Inc.1010
Midazolam HCl00404-9801-10Henry Schein Inc.1050
Midazolam HCl00404-9912-10Henry Schein Inc.1010
Midazolam HCl00404-9913-05Henry Schein Inc.55
Midazolam HCl00404-9914-10Henry Schein Inc.1050
Midazolam HCl00404-9915-05Henry Schein Inc.525
Midazolam HCl00404-9916-01Henry Schein Inc.15
Midazolam HCl00404-9916-02Henry Schein Inc.210
Midazolam HCl00409-2305-05Pfizer Inc10 × 550
Midazolam HCl00409-2305-17Pfizer Inc25 × 250
Midazolam HCl00409-2305-50Pfizer Inc10 × 550
Midazolam HCl00409-2308-01Pfizer Inc10 × 150
Midazolam HCl00409-2308-02Pfizer Inc10 × 2100
Midazolam HCl00409-2308-49Pfizer Inc10 × 150
Midazolam HCl00409-2308-50Pfizer Inc10 × 2100
Midazolam HCl00409-2587-05Pfizer Inc10 × 10100
Midazolam HCl00409-2596-03Pfizer Inc10 × 5250
Midazolam HCl00409-2596-05Pfizer Inc10 × 10500
Midazolam HCl00641-6056-10Hikma Pharmaceuticals USA Inc.10 × 10100
Midazolam HCl00641-6057-25Hikma Pharmaceuticals USA Inc.25 × 250
Midazolam HCl00641-6059-10Hikma Pharmaceuticals USA Inc.10 × 550
Midazolam HCl00641-6060-10Hikma Pharmaceuticals USA Inc.10 × 10500
Midazolam HCl00641-6061-25Hikma Pharmaceuticals USA Inc.25 × 1125
Midazolam HCl00641-6063-25Hikma Pharmaceuticals USA Inc.25 × 2250
Midazolam HCl00641-6190-10Hikma Pharmaceuticals USA Inc.10 × 10500
Midazolam HCl00641-6209-25Hikma Pharmaceuticals USA Inc.25 × 250
Midazolam HCl00641-6210-10Hikma Pharmaceuticals USA Inc.10 × 550
Midazolam HCl00641-6211-10Hikma Pharmaceuticals USA Inc.10 × 10500
Midazolam HCl00641-6219-10Hikma Pharmaceuticals USA Inc.10 × 2100
Midazolam HCl00641-6220-10Hikma Pharmaceuticals USA Inc.10 × 220
Midazolam HCl00641-6281-25Hikma Pharmaceuticals USA Inc.25 × 250
Midazolam HCl23155-0600-41Heritage Pharmaceuticals Inc.25 × 250
Midazolam HCl23155-0601-41Heritage Pharmaceuticals Inc.10 × 5250
Midazolam HCl23155-0601-42Heritage Pharmaceuticals Inc.10 × 10500
Midazolam HCl50090-5342-00A-S Medication Solutions10 × 10500
Midazolam HCl50090-5342-01A-S Medication Solutions1050
Midazolam HCl50090-5472-00A-S Medication Solutions10 × 10100
Midazolam HCl63323-0411-10FreseniUS Kabi USA, LLC10 × 10100
Midazolam HCl63323-0411-12FreseniUS Kabi USA, LLC25 × 250
Midazolam HCl63323-0411-25FreseniUS Kabi USA, LLC25 × 5125
Midazolam HCl63323-0412-02FreseniUS Kabi USA, LLC10 × 2100
Midazolam HCl63323-0412-10FreseniUS Kabi USA, LLC10 × 10500
Midazolam HCl63323-0412-25FreseniUS Kabi USA, LLC25 × 1125
Midazolam HCl70069-0816-10Somerset Pharma, LLC10 × 220
Midazolam HCl70860-0600-02Athenex Pharmaceutical Division, LLC25 × 250
Midazolam HCl70860-0601-05Athenex Pharmaceutical Division, LLC10 × 5250
Midazolam HCl70860-0601-10Athenex Pharmaceutical Division, LLC10 × 10500
Midazolam HCl72572-0430-25Civica, Inc.25 × 250
Midazolam HCl72572-0432-10Civica, Inc.10 × 550
Midazolam HCl72611-0741-25Almaject, Inc.25 × 250
Midazolam HCl76045-0001-20FreseniUS Kabi USA, LLC24 × 248
Midazolam HCl76045-0211-20FreseniUS Kabi USA, LLC24 × 248

J2250: common questions

Is J2250 a CPT code?
No. J2250 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 J2250?
CMS's ASP crosswalk for October 1, 2026 through December 31, 2026 lists 55 NDCs under J2250, for Midazolam and Midazolam HCl. The table on this page shows each one with its billing units per package.
What is the Medicare payment limit for J2250?
$0.167 per 1 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 J2250?
One unit of J2250 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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