No. J3010 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 J3010?

CMS's ASP crosswalk for October 1, 2026 through December 31, 2026 lists 25 NDCs under J3010, for Fentanyl Citrate. The table on this page shows each one with its billing units per package.

What is the Medicare payment limit for J3010?

$1.362 per 0.1 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 J3010?

One unit of J3010 is 0.1 mg, as stated in the code's descriptor. Units to report = dose given ÷ 0.1 mg.

J3010 J-Code: Fentanyl citrate — Billing Units & NDCs

In short

J3010 is the HCPCS Level II code for injection, fentanyl citrate, 0.1 mg. CMS assigns NDCs for Fentanyl Citrate to it. One billing unit is 0.1 mg. The Medicare Part B payment limit is $1.362 per unit (October 1, 2026 through December 31, 2026).

Code

CMS HCPCS file

HCPCS codeJ3010

Billing unit0.1 mg

Descriptor: Injection, fentanyl citrate, 0.1 mg
Short descriptor: Fentanyl citrate injection
Code set: HCPCS Level II, maintained by CMS
Effective: Jan 1, 2001

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$1.362

Per0.1 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 ÷ 0.1 mg. For example, 10 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 = 0.1 mg)

Modifier

NDC (11-digit)

NDC unit qualifier

NDC quantity

Enter the dose given to build the claim line.

NDCs billed under J3010

CMS’s ASP NDC–HCPCS crosswalk (effective October 1, 2026 through December 31, 2026) assigns 25 NDCs to J3010 for Fentanyl Citrate. Billing units per package are CMS’s figures for this code’s unit.

NDCs assigned to J3010 in the CMS ASP crosswalk
Drug	NDC (11-digit)	Labeler	Package	Billing units per package
Fentanyl Citrate	00409-9093-11	Pfizer Inc	10 × 2	10
Fentanyl Citrate	00409-9094-22	Pfizer Inc	25 × 2	25
Fentanyl Citrate	00409-9094-25	Pfizer Inc	25 × 5	63
Fentanyl Citrate	00409-9094-28	Pfizer Inc	25 × 10	125
Fentanyl Citrate	00409-9094-31	Pfizer Inc	25 × 20	250
Fentanyl Citrate	00409-9094-61	Pfizer Inc	25 × 50	625
Fentanyl Citrate	00641-6027-25	Hikma Pharmaceuticals USA Inc.	25 × 2	25
Fentanyl Citrate	00641-6028-10	Hikma Pharmaceuticals USA Inc.	10 × 5	25
Fentanyl Citrate	00641-6028-25	Hikma Pharmaceuticals USA Inc.	25 × 5	63
Fentanyl Citrate	00641-6029-01	Hikma Pharmaceuticals USA Inc.	20	10
Fentanyl Citrate	00641-6030-01	Hikma Pharmaceuticals USA Inc.	50	25
Fentanyl Citrate	00641-6247-25	Hikma Pharmaceuticals USA Inc.	25 × 1	13
Fentanyl Citrate	00641-6248-10	Hikma Pharmaceuticals USA Inc.	10 × 1	5
Fentanyl Citrate	00641-6249-10	Hikma Pharmaceuticals USA Inc.	10 × 0.5	3
Fentanyl Citrate	63323-0806-01	FreseniUS Kabi USA, LLC	25 × 1	13
Fentanyl Citrate	63323-0806-02	FreseniUS Kabi USA, LLC	25 × 2	25
Fentanyl Citrate	63323-0806-05	FreseniUS Kabi USA, LLC	25 × 5	63
Fentanyl Citrate	63323-0806-20	FreseniUS Kabi USA, LLC	25 × 20	250
Fentanyl Citrate	63323-0806-50	FreseniUS Kabi USA, LLC	50	25
Fentanyl Citrate	63323-0808-11	FreseniUS Kabi USA, LLC	10 × 1	5
Fentanyl Citrate	63323-0810-20	FreseniUS Kabi USA, LLC	20 × 2	20
Fentanyl Citrate	72572-0170-25	Civica, Inc.	25 × 2	25
Fentanyl Citrate	72572-0171-10	Civica, Inc.	10 × 5	25
Fentanyl Citrate	72572-0172-01	Civica, Inc.	50	25
Fentanyl Citrate	81565-0205-02	Phlow Corporation	25 × 2	25

J3010: common questions

Is J3010 a CPT code?: No. J3010 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 J3010?: CMS's ASP crosswalk for October 1, 2026 through December 31, 2026 lists 25 NDCs under J3010, for Fentanyl Citrate. The table on this page shows each one with its billing units per package.
What is the Medicare payment limit for J3010?: $1.362 per 0.1 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 J3010?: One unit of J3010 is 0.1 mg, as stated in the code's descriptor. Units to report = dose given ÷ 0.1 mg. J-code billing units.

J3010 — Injection, fentanyl citrate, 0.1 mg