HCPCS drug code · CMS crosswalk
Epioxa HD/Epioxa J-Code / HCPCS Code
In short
Epioxa HD/Epioxa is billed under HCPCS J2789 — Riboflavin 5'-phosphate, ophthalmic solution (epioxahd/epioxa), up to 2 ml. One billing unit is up to 2 ml. CMS's crosswalk lists 1 Epioxa HD/Epioxa NDC under this code.
Reference
- J2789
- Riboflavin 5'-phosphate, ophthalmic solution (epioxahd/epioxa), up to 2 mlBilling unit: up to 2 ml
- Labelers
- Glaukos Corporation
Medicare Part B payment limit
CMS ASP fileEffective October 1, 2026 through December 31, 2026. Payment allowance limits subject to the ASP methodology are based on 2Q26 ASP data. CMS note: Added October 2026. A payment limit is not a coverage decision; the Medicare contractor decides coverage. CMS ASP pricing files
Epioxa HD/Epioxa units and claim line
Enter the dose given to get the J2789 units and the NDC line for the CMS-1500 and the 837P.
Enter the units to build the claim line.
Epioxa HD/Epioxa NDCs and billing units
From CMS’s ASP NDC–HCPCS crosswalk, effective October 1, 2026 through December 31, 2026. Billing units per package are CMS’s figures for the code’s unit.
| NDC (11-digit) | HCPCS | Labeler | Package | Billing units per package |
|---|---|---|---|---|
| 25357-0024-01 | J2789 | Glaukos Corporation | 2 × 2 | 2 |
Epioxa HD/Epioxa: common questions
- What is the J-code for Epioxa HD/Epioxa?
- Epioxa HD/Epioxa is billed under HCPCS J2789 — Riboflavin 5'-phosphate, ophthalmic solution (epioxahd/epioxa), up to 2 ml. One billing unit is up to 2 ml. CMS's crosswalk lists 1 Epioxa HD/Epioxa NDC under this code.
- How many J2789 billing units are in a package of Epioxa HD/Epioxa?
- CMS lists 2 billing units per package, depending on the NDC, where one unit is up to 2 ml. Units to report are based on the dose given, not the package.
- Is J2789 a CPT code?
- No. J2789 is a HCPCS Level II code from CMS for the drug itself. Giving it, for example by injection or infusion, is usually reported with a separate CPT administration code.