HCPCS drug code · CMS crosswalk
Epoprostenol J-Code / HCPCS Code
In short
Epoprostenol is billed under HCPCS J1325 — Injection, epoprostenol, 0.5 mg. One billing unit is 0.5 mg. CMS's crosswalk lists 4 Epoprostenol NDCs under this code.
Reference
- J1325
- Injection, epoprostenol, 0.5 mgBilling unit: 0.5 mg
- Labelers
- Mylan Institutional LLC; Sun Pharmaceutical Industries, Inc.
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. A payment limit is not a coverage decision; the Medicare contractor decides coverage. CMS ASP pricing files
Epoprostenol units and claim line
Enter the dose given to get the J1325 units and the NDC line for the CMS-1500 and the 837P.
Enter the dose given to build the claim line.
Epoprostenol 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 |
|---|---|---|---|---|
| 62756-0059-40 | J1325 | Sun Pharmaceutical Industries, Inc. | 1 | 1 |
| 62756-0060-40 | J1325 | Sun Pharmaceutical Industries, Inc. | 1 | 3 |
| 67457-0587-10 | J1325 | Mylan Institutional LLC | 1 | 1 |
| 67457-0588-10 | J1325 | Mylan Institutional LLC | 1 | 3 |
Epoprostenol: common questions
- What is the J-code for Epoprostenol?
- Epoprostenol is billed under HCPCS J1325 — Injection, epoprostenol, 0.5 mg. One billing unit is 0.5 mg. CMS's crosswalk lists 4 Epoprostenol NDCs under this code.
- How many J1325 billing units are in a package of Epoprostenol?
- CMS lists 1 to 3 billing units per package, depending on the NDC, where one unit is 0.5 mg. Units to report are based on the dose given, not the package.
- Is J1325 a CPT code?
- No. J1325 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.