In short

J2425 is the HCPCS Level II code for injection, palifermin, 50 micrograms. CMS assigns NDCs for Kepivance to it. One billing unit is 50 micrograms. The Medicare Part B payment limit is $38.839 per unit (October 1, 2026 through December 31, 2026).

Code

CMS HCPCS file
HCPCS codeJ2425
Billing unit50 micrograms
Descriptor
Injection, palifermin, 50 micrograms
Short descriptor
Palifermin injection
Code set
HCPCS Level II, maintained by CMS
Effective
Jan 1, 2006

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$38.839
Per50 mcg
Coinsurance15.688%

Effective October 1, 2026 through December 31, 2026. Payment allowance limits subject to the ASP methodology are based on 2Q26 ASP data. CMS note: Inflation-adjusted coinsurance. 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 J2425

CMS’s ASP NDC–HCPCS crosswalk (effective October 1, 2026 through December 31, 2026) assigns 2 NDCs to J2425 for Kepivance. Billing units per package are CMS’s figures for this code’s unit.

NDCs assigned to J2425 in the CMS ASP crosswalk
DrugNDC (11-digit)LabelerPackageBilling units per package
Kepivance66658-0113-03Swedish Orphan Biovitrum AB (PuBL)3 × 1310
Kepivance66658-0113-06Swedish Orphan Biovitrum AB (PuBL)6 × 1620

J2425: common questions

Is J2425 a CPT code?
No. J2425 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 J2425?
CMS's ASP crosswalk for October 1, 2026 through December 31, 2026 lists 2 NDCs under J2425, for Kepivance. The table on this page shows each one with its billing units per package.
What is the Medicare payment limit for J2425?
$38.839 per 50 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 J2425?
One unit of J2425 is 50 micrograms, as stated in the code's descriptor. Units to report = dose given ÷ 50 micrograms. J-code billing units.

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