No. J2704 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.

What NDCs are billed under J2704?

CMS's ASP crosswalk for October 1, 2026 through December 31, 2026 lists 53 NDCs under J2704, for Diprivan and Propofol. The table on this page shows each one with its billing units per package.

What is the Medicare payment limit for J2704?

$0.093 per 10 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 J2704?

One unit of J2704 is 10 mg, as stated in the code's descriptor. Units to report = dose given ÷ 10 mg.

J2704 J-Code: Diprivan (propofol) — Billing Units & NDCs

In short

J2704 is the HCPCS Level II code for injection, propofol, 10 mg. CMS assigns NDCs for Diprivan and Propofol to it. One billing unit is 10 mg. The Medicare Part B payment limit is $0.093 per unit (October 1, 2026 through December 31, 2026).

Code

CMS HCPCS file

HCPCS codeJ2704

Billing unit10 mg

Descriptor: Injection, propofol, 10 mg
Short descriptor: Inj, propofol, 10 mg
Code set: HCPCS Level II, maintained by CMS
Effective: Jan 1, 2015

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$0.093

Per10 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 ÷ 10 mg. For example, 1000 mg is 100 units. Enter the dose to get the units and the NDC line for the CMS-1500 and the 837P.

Dose given (mg)

HCPCS units (1 unit = 10 mg)

Modifier

NDC (11-digit)

NDC unit qualifier

NDC quantity

Enter the dose given to build the claim line.

NDCs billed under J2704

CMS’s ASP NDC–HCPCS crosswalk (effective October 1, 2026 through December 31, 2026) assigns 53 NDCs to J2704 for Diprivan and Propofol. Billing units per package are CMS’s figures for this code’s unit.

NDCs assigned to J2704 in the CMS ASP crosswalk
Drug	NDC (11-digit)	Labeler	Package	Billing units per package
Diprivan	63323-0269-10	FreseniUS Kabi USA, LLC	10 × 10	100
Diprivan	63323-0269-16	FreseniUS Kabi USA, LLC	10 × 10	100
Diprivan	63323-0269-29	FreseniUS Kabi USA, LLC	10 × 20	200
Diprivan	63323-0269-37	FreseniUS Kabi USA, LLC	10 × 20	200
Diprivan	63323-0269-59	FreseniUS Kabi USA, LLC	20 × 50	1,000
Diprivan	63323-0269-69	FreseniUS Kabi USA, LLC	10 × 100	1,000
Diprivan	63323-0269-70	FreseniUS Kabi USA, LLC	10 × 20	200
Diprivan	63323-0269-77	FreseniUS Kabi USA, LLC	20 × 50	1,000
Diprivan	63323-0269-94	FreseniUS Kabi USA, LLC	10 × 20	200
Diprivan	65219-0800-10	FreseniUS Kabi USA, LLC	10 × 20	200
Propofol	00069-0209-10	Pfizer Inc	10 × 20	200
Propofol	00069-0234-20	Pfizer Inc	20 × 50	1,000
Propofol	00069-0248-10	Pfizer Inc	10 × 100	1,000
Propofol	00409-4699-24	Pfizer Inc	10 × 100	1,000
Propofol	00409-4699-33	Pfizer Inc	20 × 50	1,000
Propofol	00409-6010-25	Pfizer Inc	25 × 20	500
Propofol	00641-6194-10	Hikma Pharmaceuticals USA Inc.	10 × 20	200
Propofol	00641-6195-20	Hikma Pharmaceuticals USA Inc.	20 × 50	1,000
Propofol	00641-6196-10	Hikma Pharmaceuticals USA Inc.	10 × 100	1,000
Propofol	16714-0528-10	Northstar RxLLC	10 × 20	200
Propofol	16714-0528-20	Northstar RxLLC	20 × 20	400
Propofol	16714-0690-10	Northstar RxLLC	10 × 100	1,000
Propofol	16714-0977-20	Northstar RxLLC	20 × 50	1,000
Propofol	23155-0345-41	Heritage Pharmaceuticals Inc.	10 × 20	200
Propofol	23155-0345-42	Heritage Pharmaceuticals Inc.	20 × 50	1,000
Propofol	23155-0345-43	Heritage Pharmaceuticals Inc.	10 × 100	1,000
Propofol	23155-0345-44	Heritage Pharmaceuticals Inc.	20 × 20	400
Propofol	25021-0608-20	Sagent Pharmaceuticals	25 × 20	500
Propofol	25021-0608-50	Sagent Pharmaceuticals	20 × 50	1,000
Propofol	25021-0608-51	Sagent Pharmaceuticals	10 × 100	1,000
Propofol	43598-0265-25	Dr. Reddy's Laboratories Inc.	25 × 20	500
Propofol	43598-0265-58	Dr. Reddy's Laboratories Inc.	10 × 20	200
Propofol	43598-0548-21	Dr. Reddy's Laboratories Inc.	20 × 50	1,000
Propofol	43598-0549-10	Dr. Reddy's Laboratories Inc.	10 × 100	1,000
Propofol	51662-1470-01	HF Acquisition Co. LLC, DBA HealthFirst	100	100
Propofol	51662-1471-01	HF Acquisition Co. LLC, DBA HealthFirst	50	50
Propofol	63323-0269-50	FreseniUS Kabi USA, LLC	20 × 50	1,000
Propofol	63323-0269-57	FreseniUS Kabi USA, LLC	20 × 50	1,000
Propofol	63323-0269-65	FreseniUS Kabi USA, LLC	10 × 100	1,000
Propofol	63323-0269-67	FreseniUS Kabi USA, LLC	10 × 100	1,000
Propofol	63323-0269-78	FreseniUS Kabi USA, LLC	10 × 100	1,000
Propofol	71288-0729-21	Meitheal Pharmaceuticals, Inc.	10 × 20	200
Propofol	71288-0730-51	Meitheal Pharmaceuticals, Inc.	10 × 50	500
Propofol	71288-0731-53	Meitheal Pharmaceuticals, Inc.	10 × 100	1,000
Propofol	72572-0590-10	Civica, Inc.	10 × 20	200
Propofol	72572-0601-20	Civica, Inc.	20 × 50	1,000
Propofol	72572-0612-10	Civica, Inc.	10 × 100	1,000
Propofol	80830-1188-07	Amneal Pharmaceuticals, LLC	10 × 20	200
Propofol	80830-2364-08	Amneal Pharmaceuticals Private Limited	20 × 50	1,000
Propofol	80830-2365-07	Amneal Pharmaceuticals, LLC	10 × 100	1,000
Propofol	83634-0603-20	Avenacy Inc.	20 × 20	400
Propofol	83634-0603-50	Avenacy Inc.	20 × 50	1,000
Propofol	83634-0603-51	Avenacy Inc.	10 × 100	1,000

J2704: common questions

Is J2704 a CPT code?: No. J2704 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 J2704?: CMS's ASP crosswalk for October 1, 2026 through December 31, 2026 lists 53 NDCs under J2704, for Diprivan and Propofol. The table on this page shows each one with its billing units per package.
What is the Medicare payment limit for J2704?: $0.093 per 10 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 J2704?: One unit of J2704 is 10 mg, as stated in the code's descriptor. Units to report = dose given ÷ 10 mg. J-code billing units.

J2704 — Injection, propofol, 10 mg