In short

J0585 is the HCPCS Level II code for injection, onabotulinumtoxinA, 1 unit. CMS assigns NDCs for Botox and Botox Cosmetic to it. One billing unit is 1 unit. The Medicare Part B payment limit is $6.514 per unit (October 1, 2026 through December 31, 2026).

Code

Med-Code curated
HCPCS codeJ0585
Billing unit1 unit
Descriptor
Injection, onabotulinumtoxinA, 1 unit
Code set
HCPCS Level II, maintained by CMS

Medicare Part B payment limit

CMS ASP file
Payment limit per unit$6.514
Per1 unit
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 unit. For example, 100 unit 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.

Drugs mapped to J0585

FDA-listed products billed under J0585

Finished products in the FDA NDC Directory whose brand or single active ingredient, and route, match this code’s entry.

NDC products matching J0585
ProductStrengthForm · routeLabelerProduct NDC
BotoxonabotulinumtoxinaBotulinum toxin type a 100 [USP'U]/1Injection, Powder, Lyophilized, For solutionIntradermal, IntramuscularAllergan, Inc.0023-1145
BotoxonabotulinumtoxinaBotulinum toxin type a 200 [USP'U]/1Injection, Powder, Lyophilized, For solutionIntradermal, IntramuscularAllergan, Inc.0023-3921
BotoxonabotulinumtoxinaBotulinum toxin type a 100 [USP'U]/1Injection, Powder, Lyophilized, For solutionIntradermal, IntramuscularSportpharm LLC85766-155
BOTOX CosmeticonabotulinumtoxinaBotulinum toxin type a 50 [USP'U]/1Injection, Powder, Lyophilized, For solutionIntramuscularAllergan, Inc.0023-3919
BOTOX CosmeticonabotulinumtoxinaBotulinum toxin type a 100 [USP'U]/1Injection, Powder, Lyophilized, For solutionIntramuscularAllergan, Inc.0023-9232

All NDCs for these drugs

NDCs billed under J0585

CMS’s ASP NDC–HCPCS crosswalk (effective October 1, 2026 through December 31, 2026) assigns 4 NDCs to J0585 for Botox and Botox Cosmetic. Billing units per package are CMS’s figures for this code’s unit.

NDCs assigned to J0585 in the CMS ASP crosswalk
DrugNDC (11-digit)LabelerPackageBilling units per package
Botox00023-1145-01Allergan, Inc.1100
Botox00023-3921-02Allergan, Inc.1200
Botox Cosmetic00023-3919-50Allergan, Inc.150
Botox Cosmetic00023-9232-01Allergan, Inc.1100

J0585: common questions

Is J0585 a CPT code?
No. J0585 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 J0585?
CMS's ASP crosswalk for October 1, 2026 through December 31, 2026 lists 4 NDCs under J0585, for Botox and Botox Cosmetic. The table on this page shows each one with its billing units per package.
What is the Medicare payment limit for J0585?
$6.514 per 1 unit, 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 J0585?
One unit of J0585 is 1 unit, as stated in the code's descriptor. Units to report = dose given ÷ 1 unit. J-code billing units.

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