No. J2916 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 J2916?

CMS's ASP crosswalk for October 1, 2026 through December 31, 2026 lists 4 NDCs under J2916, for Ferrlecit and Sodium Ferric Gluconate. The table on this page shows each one with its billing units per package.

What is the Medicare payment limit for J2916?

$1.956 per 12.5 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 J2916?

One unit of J2916 is 12.5 mg, as stated in the code's descriptor. Units to report = dose given ÷ 12.5 mg.

J2916 J-Code: Ferrlecit

In short

J2916 is the HCPCS Level II code for injection, sodium ferric gluconate complex in sucrose injection, 12.5 mg. CMS assigns NDCs for Ferrlecit and Sodium Ferric Gluconate to it. One billing unit is 12.5 mg. The Medicare Part B payment limit is $1.956 per unit (October 1, 2026 through December 31, 2026).

Code

CMS HCPCS file

HCPCS codeJ2916

Billing unit12.5 mg

Descriptor: Injection, sodium ferric gluconate complex in sucrose injection, 12.5 mg
Short descriptor: Na ferric gluconate complex
Code set: HCPCS Level II, maintained by CMS
Effective: Jan 1, 2003

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$1.956

Per12.5 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 ÷ 12.5 mg. For example, 1250 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 = 12.5 mg)

Modifier

NDC (11-digit)

NDC unit qualifier

NDC quantity

Enter the dose given to build the claim line.

NDCs billed under J2916

CMS’s ASP NDC–HCPCS crosswalk (effective October 1, 2026 through December 31, 2026) assigns 4 NDCs to J2916 for Ferrlecit and Sodium Ferric Gluconate. Billing units per package are CMS’s figures for this code’s unit.

NDCs assigned to J2916 in the CMS ASP crosswalk
Drug	NDC (11-digit)	Labeler	Package	Billing units per package
Ferrlecit	00024-2792-10	Sanofi-Aventis U.S. LLC	10 × 5	50
Ferrlecit	00024-2794-10	Sanofi-Aventis U.S. LLC	10 × 5	50
Sodium Ferric Gluconate	00143-9298-10	Hikma Pharmaceuticals USA Inc.	10 × 5	50
Sodium Ferric Gluconate	00143-9570-10	Hikma Pharmaceuticals USA Inc.	10 × 5	50

J2916: common questions

Is J2916 a CPT code?: No. J2916 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 J2916?: CMS's ASP crosswalk for October 1, 2026 through December 31, 2026 lists 4 NDCs under J2916, for Ferrlecit and Sodium Ferric Gluconate. The table on this page shows each one with its billing units per package.
What is the Medicare payment limit for J2916?: $1.956 per 12.5 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 J2916?: One unit of J2916 is 12.5 mg, as stated in the code's descriptor. Units to report = dose given ÷ 12.5 mg. J-code billing units.

J2916 — Injection, sodium ferric gluconate complex in sucrose injection, 12.5 mg