HCPCS Level II drug code
J3105 — Injection, terbutaline sulfate, up to 1 mg
In short
J3105 is the HCPCS Level II code for injection, terbutaline sulfate, up to 1 mg. CMS assigns NDCs for Terbutaline Sulfate to it. The Medicare Part B payment limit is $1.00 per unit (October 1, 2026 through December 31, 2026).
Code
CMS HCPCS file- Descriptor
- Injection, terbutaline sulfate, up to 1 mg
- Short descriptor
- Terbutaline sulfate inj
- Code set
- HCPCS Level II, maintained by CMS
- Effective
- Jan 1, 1997
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
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 J3105
CMS’s ASP NDC–HCPCS crosswalk (effective October 1, 2026 through December 31, 2026) assigns 5 NDCs to J3105 for Terbutaline Sulfate. Billing units per package are CMS’s figures for this code’s unit.
| Drug | NDC (11-digit) | Labeler | Package | Billing units per package |
|---|---|---|---|---|
| Terbutaline Sulfate | 00143-9375-10 | Hikma Pharmaceuticals USA Inc. | 10 × 1 | 10 |
| Terbutaline Sulfate | 00143-9746-10 | Hikma Pharmaceuticals USA Inc. | 10 × 1 | 10 |
| Terbutaline Sulfate | 00404-9962-01 | Henry Schein Inc. | 1 | 1 |
| Terbutaline Sulfate | 59923-0615-05 | Areva Pharmaceuticals | 5 × 1 | 5 |
| Terbutaline Sulfate | 63323-0665-01 | FreseniUS Kabi USA, LLC | 25 × 1 | 25 |
J3105: common questions
- Is J3105 a CPT code?
- No. J3105 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 J3105?
- CMS's ASP crosswalk for October 1, 2026 through December 31, 2026 lists 5 NDCs under J3105, for Terbutaline Sulfate. The table on this page shows each one with its billing units per package.
- What is the Medicare payment limit for J3105?
- $1.00 per 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.