HCPCS Level II drug code
J2373 — Injection, phenylephrine hydrochloride (immphentiv), 20 micrograms
In short
J2373 is the HCPCS Level II code for injection, phenylephrine hydrochloride (immphentiv), 20 micrograms. CMS assigns NDCs for Immphentiv to it. One billing unit is 20 micrograms. The Medicare Part B payment limit is $0.136 per unit (October 1, 2026 through December 31, 2026).
Code
CMS HCPCS file- Descriptor
- Injection, phenylephrine hydrochloride (immphentiv), 20 micrograms
- Short descriptor
- Inj, immphentiv, 20 mcg
- Code set
- HCPCS Level II, maintained by CMS
- Effective
- Jan 1, 2025
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
Enter the dose to get the units and the NDC line for the CMS-1500 and the 837P.
Enter the units to build the claim line.
NDCs billed under J2373
CMS’s ASP NDC–HCPCS crosswalk (effective October 1, 2026 through December 31, 2026) assigns 2 NDCs to J2373 for Immphentiv. Billing units per package are CMS’s figures for this code’s unit.
| Drug | NDC (11-digit) | Labeler | Package | Billing units per package |
|---|---|---|---|---|
| Immphentiv | 00641-6245-10 | Hikma Pharmaceuticals USA Inc. | 10 × 5 | 250 |
| Immphentiv | 00641-6246-10 | Hikma Pharmaceuticals USA Inc. | 10 × 10 | 500 |
J2373: common questions
- Is J2373 a CPT code?
- No. J2373 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 J2373?
- CMS's ASP crosswalk for October 1, 2026 through December 31, 2026 lists 2 NDCs under J2373, for Immphentiv. The table on this page shows each one with its billing units per package.
- What is the Medicare payment limit for J2373?
- $0.136 per 20 mcg, 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 J2373?
- One unit of J2373 is 20 micrograms, as stated in the code's descriptor. Units to report = dose given ÷ 20 micrograms. J-code billing units.