In short

J3358 is the HCPCS Level II code for ustekinumab, for intravenous injection, 1 mg. CMS assigns NDCs for Stelara and Ustekinumab to it. One billing unit is 1 mg. The Medicare Part B payment limit is $10.249 per unit (October 1, 2026 through December 31, 2026).

Code

CMS HCPCS file
HCPCS codeJ3358
Billing unit1 mg
Descriptor
Ustekinumab, for intravenous injection, 1 mg
Short descriptor
Ustekinumab, iv inject, 1 mg
Code set
HCPCS Level II, maintained by CMS
Effective
Jan 1, 2018

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$10.249
Per1 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 ÷ 1 mg. For example, 100 mg 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 J3358

CMS’s ASP NDC–HCPCS crosswalk (effective October 1, 2026 through December 31, 2026) assigns 2 NDCs to J3358 for Stelara and Ustekinumab. Billing units per package are CMS’s figures for this code’s unit.

NDCs assigned to J3358 in the CMS ASP crosswalk
DrugNDC (11-digit)LabelerPackageBilling units per package
Stelara57894-0054-27Janssen Biotech, Inc.26130
Ustekinumab57894-0444-01Janssen Biotech, Inc.26130

J3358: common questions

Is J3358 a CPT code?
No. J3358 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 J3358?
CMS's ASP crosswalk for October 1, 2026 through December 31, 2026 lists 2 NDCs under J3358, for Stelara and Ustekinumab. The table on this page shows each one with its billing units per package.
What is the Medicare payment limit for J3358?
$10.249 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.
What is one billing unit of J3358?
One unit of J3358 is 1 mg, as stated in the code's descriptor. Units to report = dose given ÷ 1 mg. J-code billing units.

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