In short

J3465 is the HCPCS Level II code for injection, voriconazole, 10 mg. CMS assigns NDCs for Vfend Iv and Voriconazole to it. One billing unit is 10 mg. The Medicare Part B payment limit is $0.548 per unit (October 1, 2026 through December 31, 2026).

Code

CMS HCPCS file
HCPCS codeJ3465
Billing unit10 mg
Descriptor
Injection, voriconazole, 10 mg
Short descriptor
Injection, voriconazole
Code set
HCPCS Level II, maintained by CMS
Effective
Jan 1, 2019

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$0.548
Per10 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 ÷ 10 mg. For example, 1000 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 J3465

CMS’s ASP NDC–HCPCS crosswalk (effective October 1, 2026 through December 31, 2026) assigns 10 NDCs to J3465 for Vfend Iv and Voriconazole. Billing units per package are CMS’s figures for this code’s unit.

NDCs assigned to J3465 in the CMS ASP crosswalk
DrugNDC (11-digit)LabelerPackageBilling units per package
Vfend Iv00049-3190-01Pfizer Inc120
Vfend Iv00049-3190-28Pfizer Inc120
Vfend Iv00049-4190-01Pfizer Inc120
Voriconazole00781-3416-94Sandoz Inc.120
Voriconazole65219-0190-30FreseniUS Kabi USA, LLC120
Voriconazole70436-0029-80Slate Run Pharmaceuticals120
Voriconazole70594-0067-01Xellia Pharmaceuticals USA, LLC.120
Voriconazole71288-0027-30Meitheal Pharmaceuticals Inc.120
Voriconazole72266-0131-01Fosun Pharma USA Inc.120
Voriconazole72572-0875-01Civica, Inc.120

J3465: common questions

Is J3465 a CPT code?
No. J3465 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 J3465?
CMS's ASP crosswalk for October 1, 2026 through December 31, 2026 lists 10 NDCs under J3465, for Vfend Iv and Voriconazole. The table on this page shows each one with its billing units per package.
What is the Medicare payment limit for J3465?
$0.548 per 10 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 J3465?
One unit of J3465 is 10 mg, as stated in the code's descriptor. Units to report = dose given ÷ 10 mg. J-code billing units.

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