In short

J2540 is the HCPCS Level II code for injection, penicillin g potassium, up to 600,000 units. CMS assigns NDCs for Penicillin G Pot In Dextrose, Penicillin G Potassium, Pfizerpen and Pfizerpen-G to it. One billing unit is 000 units. The Medicare Part B payment limit is $0.781 per unit (October 1, 2026 through December 31, 2026).

Code

CMS HCPCS file
HCPCS codeJ2540
Billing unit000 units
Descriptor
Injection, penicillin g potassium, up to 600,000 units
Short descriptor
Penicillin g potassium inj
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$0.781
Per600000 units
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 ÷ 000 units. For example, 0 units is units. 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 J2540

CMS’s ASP NDC–HCPCS crosswalk (effective October 1, 2026 through December 31, 2026) assigns 20 NDCs to J2540 for Penicillin G Pot In Dextrose, Penicillin G Potassium, Pfizerpen and Pfizerpen-G. Billing units per package are CMS’s figures for this code’s unit.

NDCs assigned to J2540 in the CMS ASP crosswalk
DrugNDC (11-digit)LabelerPackageBilling units per package
Penicillin G Pot In Dextrose00338-1023-41Baxter Healthcare Corporation504
Penicillin G Pot In Dextrose00338-1025-41Baxter Healthcare Corporation505
Penicillin G Potassium00781-6135-95Sandoz Inc.10 × 184
Penicillin G Potassium00781-6136-94Sandoz Inc.134
Penicillin G Potassium25021-0153-20Sagent Pharmaceuticals10 × 184
Penicillin G Potassium25021-0154-51Sagent Pharmaceuticals134
Penicillin G Potassium44567-0311-10WG Critical Care, LLC10 × 184
Penicillin G Potassium44567-0312-01WG Critical Care, LLC134
Penicillin G Potassium51662-1436-01HF Acquisition Co. LLC, DBA HealthFirst19
Penicillin G Potassium70860-0126-20Athenex Pharmaceutical Division, LLC10 × 184
Penicillin G Potassium72603-0210-10Northstar RxLLC10 × 184
Penicillin G Potassium72603-0345-01Northstar RxLLC134
Penicillin G Potassium83634-0102-20Avenacy Inc.10 × 184
Penicillin G Potassium83634-0103-51Avenacy Inc.134
Pfizerpen00049-0420-10Pfizer Inc10 × 184
Pfizerpen00049-0430-20Pfizer Inc134
Pfizerpen-G00049-0520-22Pfizer Inc10 × 184
Pfizerpen-G00049-0520-83Pfizer Inc10 × 184
Pfizerpen-G00049-0530-22Pfizer Inc134
Pfizerpen-G00049-0530-28Pfizer Inc134

J2540: common questions

Is J2540 a CPT code?
No. J2540 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 J2540?
CMS's ASP crosswalk for October 1, 2026 through December 31, 2026 lists 20 NDCs under J2540, for Penicillin G Pot In Dextrose, Penicillin G Potassium, Pfizerpen and Pfizerpen-G. The table on this page shows each one with its billing units per package.
What is the Medicare payment limit for J2540?
$0.781 per 600000 units, 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 J2540?
One unit of J2540 is 000 units, as stated in the code's descriptor. Units to report = dose given ÷ 000 units. J-code billing units.

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