HCPCS Level II drug code
J2820 — Injection, sargramostim (gm-csf), 50 mcg
In short
J2820 is the HCPCS Level II code for injection, sargramostim (gm-csf), 50 mcg. CMS assigns NDCs for Leukine to it. One billing unit is 50 mcg. The Medicare Part B payment limit is $62.47 per unit (October 1, 2026 through December 31, 2026).
Code
CMS HCPCS file- Descriptor
- Injection, sargramostim (gm-csf), 50 mcg
- Short descriptor
- Sargramostim injection
- Code set
- HCPCS Level II, maintained by CMS
- Effective
- Jan 1, 1998
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
Units = dose given ÷ 50 mcg. For example, 5000 mcg 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 J2820
CMS’s ASP NDC–HCPCS crosswalk (effective October 1, 2026 through December 31, 2026) assigns 1 NDC to J2820 for Leukine. Billing units per package are CMS’s figures for this code’s unit.
| Drug | NDC (11-digit) | Labeler | Package | Billing units per package |
|---|---|---|---|---|
| Leukine | 71837-5843-05 | Partner Therapeutics, Inc | 5 × 1 | 25 |
J2820: common questions
- Is J2820 a CPT code?
- No. J2820 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 J2820?
- CMS's ASP crosswalk for October 1, 2026 through December 31, 2026 lists 1 NDC under J2820, for Leukine. The table on this page shows each one with its billing units per package.
- What is the Medicare payment limit for J2820?
- $62.47 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 J2820?
- One unit of J2820 is 50 mcg, as stated in the code's descriptor. Units to report = dose given ÷ 50 mcg. J-code billing units.