In short

J2267 is the HCPCS Level II code for injection, mirikizumab-mrkz, 1 mg. CMS assigns NDCs for Omvoh to it. One billing unit is 1 mg. The Medicare Part B payment limit is $32.584 per unit (October 1, 2026 through December 31, 2026).

Code

CMS HCPCS file
HCPCS codeJ2267
Billing unit1 mg
Descriptor
Injection, mirikizumab-mrkz, 1 mg
Short descriptor
Inj, mirikizumab-mrkz, 1 mg
Code set
HCPCS Level II, maintained by CMS
Effective
Jul 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$32.584
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. CMS note: "lesser of" methodology applied. 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 J2267

CMS’s ASP NDC–HCPCS crosswalk (effective October 1, 2026 through December 31, 2026) assigns 7 NDCs to J2267 for Omvoh. Billing units per package are CMS’s figures for this code’s unit.

NDCs assigned to J2267 in the CMS ASP crosswalk
DrugNDC (11-digit)LabelerPackageBilling units per package
Omvoh00002-1442-11Eli Lilly and Company2200
Omvoh00002-3116-11Eli Lilly and Company2200
Omvoh00002-7575-01Eli Lilly and Company15300
Omvoh00002-7717-11Eli Lilly and Company3300
Omvoh00002-7722-11Eli Lilly and Company3300
Omvoh00002-8011-27Eli Lilly and Company2 × 1200
Omvoh00002-8870-27Eli Lilly and Company2 × 1200

J2267: common questions

Is J2267 a CPT code?
No. J2267 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 J2267?
CMS's ASP crosswalk for October 1, 2026 through December 31, 2026 lists 7 NDCs under J2267, for Omvoh. The table on this page shows each one with its billing units per package.
What is the Medicare payment limit for J2267?
$32.584 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 J2267?
One unit of J2267 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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