In short

J7355 is the HCPCS Level II code for injection, travoprost, intracameral implant, 1 microgram. CMS assigns NDCs for iDose TR to it. One billing unit is 1 microgram. The Medicare Part B payment limit is $196.804 per unit (October 1, 2026 through December 31, 2026).

Code

CMS HCPCS file
HCPCS codeJ7355
Billing unit1 microgram
Descriptor
Injection, travoprost, intracameral implant, 1 microgram
Short descriptor
Inj travoprost intra impl
Code set
HCPCS Level II, maintained by CMS
Effective
Jul 1, 2024

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$196.804
Per1 mcg
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.

Enter the units to build the claim line.

NDCs billed under J7355

CMS’s ASP NDC–HCPCS crosswalk (effective October 1, 2026 through December 31, 2026) assigns 1 NDC to J7355 for iDose TR. Billing units per package are CMS’s figures for this code’s unit.

NDCs assigned to J7355 in the CMS ASP crosswalk
DrugNDC (11-digit)LabelerPackageBilling units per package
iDose TR25357-0100-01Glaukos Corporation175

J7355: common questions

Is J7355 a CPT code?
No. J7355 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 J7355?
CMS's ASP crosswalk for October 1, 2026 through December 31, 2026 lists 1 NDC under J7355, for iDose TR. The table on this page shows each one with its billing units per package.
What is the Medicare payment limit for J7355?
$196.804 per 1 mcg, 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 J7355?
One unit of J7355 is 1 microgram, as stated in the code's descriptor. Units to report = dose given ÷ 1 microgram. J-code billing units.

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