In short

J3489 is the HCPCS Level II code for injection, zoledronic acid, 1 mg. CMS assigns NDCs for Reclast and Zoledronic Acid to it. One billing unit is 1 mg. The Medicare Part B payment limit is $17.673 per unit (October 1, 2026 through December 31, 2026).

Code

CMS HCPCS file
HCPCS codeJ3489
Billing unit1 mg
Descriptor
Injection, zoledronic acid, 1 mg
Short descriptor
Zoledronic acid 1mg
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$17.673
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 J3489

CMS’s ASP NDC–HCPCS crosswalk (effective October 1, 2026 through December 31, 2026) assigns 25 NDCs to J3489 for Reclast and Zoledronic Acid. Billing units per package are CMS’s figures for this code’s unit.

NDCs assigned to J3489 in the CMS ASP crosswalk
DrugNDC (11-digit)LabelerPackageBilling units per package
Reclast66758-0155-46Sandoz Inc.1005
Zoledronic Acid16714-0815-01Northstar RxLLC54
Zoledronic Acid16729-0242-31Accord Healthcare Inc54
Zoledronic Acid23155-0170-31Heritage Pharmaceuticals Inc.54
Zoledronic Acid25021-0801-66Sagent Pharmaceuticals54
Zoledronic Acid25021-0826-67Sagent Pharmaceuticals1004
Zoledronic Acid25021-0826-82Sagent Pharmaceuticals1004
Zoledronic Acid25021-0830-82Sagent Pharmaceuticals1005
Zoledronic Acid25021-0830-87Sagent Pharmaceuticals5 × 10025
Zoledronic Acid43598-0233-11Dr. Reddy's Laboratories Inc.54
Zoledronic Acid55111-0685-07Dr. Reddy's Laboratories Inc.54
Zoledronic Acid55111-0688-52Dr. Reddy's Laboratories Inc.1005
Zoledronic Acid63323-0961-98FreseniUS Kabi USA, LLC54
Zoledronic Acid63323-0966-00FreseniUS Kabi USA, LLC1005
Zoledronic Acid67457-0390-54Mylan Institutional LLC54
Zoledronic Acid67457-0619-10Mylan Institutional LLC1005
Zoledronic Acid67457-0794-10Mylan Institutional LLC1005
Zoledronic Acid68001-0437-25BluePoint Laboratories54
Zoledronic Acid68001-0610-25BluePoint Laboratories54
Zoledronic Acid68001-0611-33BluePoint Laboratories1005
Zoledronic Acid70860-0210-51Athenex Pharmaceutical Division, LLC1004
Zoledronic Acid70860-0802-82Athenex Pharmaceutical Division, LLC1005
Zoledronic Acid71288-0806-51Meitheal Pharmaceuticals Inc.1005
Zoledronic Acid72266-0152-01Fosun Pharma USA Inc.1005
Zoledronic Acid72603-0198-01Northstar RxLLC54

J3489: common questions

Is J3489 a CPT code?
No. J3489 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 J3489?
CMS's ASP crosswalk for October 1, 2026 through December 31, 2026 lists 25 NDCs under J3489, for Reclast and Zoledronic Acid. The table on this page shows each one with its billing units per package.
What is the Medicare payment limit for J3489?
$17.673 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 J3489?
One unit of J3489 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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