No. J3410 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 J3410?

CMS's ASP crosswalk for October 1, 2026 through December 31, 2026 lists 6 NDCs under J3410, for Hydroxyzine HCl. The table on this page shows each one with its billing units per package.

What is the Medicare payment limit for J3410?

$14.113 per 25 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.

J3410 J-Code: Hydroxyzine hcl — Billing Units & NDCs

In short

J3410 is the HCPCS Level II code for injection, hydroxyzine hcl, up to 25 mg. CMS assigns NDCs for Hydroxyzine HCl to it. The Medicare Part B payment limit is $14.113 per unit (October 1, 2026 through December 31, 2026).

Code

CMS HCPCS file

HCPCS codeJ3410

Billing unitSee descriptor

Descriptor: Injection, hydroxyzine hcl, up to 25 mg
Short descriptor: Hydroxyzine hcl injection
Code set: HCPCS Level II, maintained by CMS
Effective: Jan 1, 1997

Medicare Part B payment limit

CMS ASP file

Payment limit per unit$14.113

Per25 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

Enter the dose to get the units and the NDC line for the CMS-1500 and the 837P.

HCPCS units

Modifier

NDC (11-digit)

NDC unit qualifier

NDC quantity

Enter the units to build the claim line.

NDCs billed under J3410

CMS’s ASP NDC–HCPCS crosswalk (effective October 1, 2026 through December 31, 2026) assigns 6 NDCs to J3410 for Hydroxyzine HCl. Billing units per package are CMS’s figures for this code’s unit.

NDCs assigned to J3410 in the CMS ASP crosswalk
Drug	NDC (11-digit)	Labeler	Package	Billing units per package
Hydroxyzine HCl	00404-9877-01	Henry Schein Inc.	1	2
Hydroxyzine HCl	00404-9878-02	Henry Schein Inc.	2	4
Hydroxyzine HCl	00517-4201-25	American Regent, Inc.	25 × 1	25
Hydroxyzine HCl	00517-5601-25	American Regent, Inc.	25 × 1	50
Hydroxyzine HCl	00517-5602-25	American Regent, Inc.	25 × 2	100
Hydroxyzine HCl	51662-1649-03	HF Acquisition Co. LLC, DBA HealthFirst	25 × 1	25

J3410: common questions

Is J3410 a CPT code?: No. J3410 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 J3410?: CMS's ASP crosswalk for October 1, 2026 through December 31, 2026 lists 6 NDCs under J3410, for Hydroxyzine HCl. The table on this page shows each one with its billing units per package.
What is the Medicare payment limit for J3410?: $14.113 per 25 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.

J3410 — Injection, hydroxyzine hcl, up to 25 mg