J0613
J0613 – Injection, calcium gluconate (wg critical care), per 10 mg · NDC Crosswalk & Billing Units
HCPCS Level II J-code · Medicare Part B drug billing
J-code
● 5 NDCs crosswalked per 10 MG $0.050/unit ASP+6%
📋 J0613 summary
J0613 is a HCPCS Level II J-code used to bill calcium gluconate (wg critical care), per 10 mg, billed per 10 MG. The number of billing units to report depends on the dose administered and the NDC/package billed — use the calculator below.
Brand names associated with J0613: Calcium Gluconate-Nacl(J0613), Calcium Gluconate In Sodium Chloride
Code J0613
Billing unit 10 MG Payment limit $0.050/unit NDC-Crosswalk 5
Quarter Q3 2026
RxCUI Atlas Trace the drug concept →
⚠ An NDC↔HCPCS crosswalk and a published payment limit do not guarantee payer coverage or payment. Always verify the current payer policy and claim format before billing.
🗂️ Key billing facts
HCPCS codeJ0613
DescriptorInjection, calcium gluconate (wg critical care), per 10 mg
Billing unit10 MG
Payment limit / unit$0.050
Est. ASP / unit$0.047 est.
Mapped NDCs5
Data periodQ3 2026
Last updated2026-08-20
🧾 Billing & reimbursement HCPCS · CMS · EFF. Q3 2026
📅 Payment limits effective Q3 2026 — from the CMS Medicare Part B Payment Limit File (revised quarterly).
Medicare payment limit / unit
$0.050
Est. ASP / unit
$0.047 est.
Est. after 2% sequester
$0.049
HCPCS dosage
10 MG
The CMS payment limit is the Medicare Part B drug allowance (ASP + 6%, statutory). After the 2% federal sequester the effective payment is ≈ ASP + 4.3%; estimated ASP = payment limit ÷ 1.06. Source: CMS Medicare Part B Payment Limit File (quarterly), Q3 2026.
Full HCPCS code details (official CMS record)
Long descriptionInjection, calcium gluconate (wg critical care), per 10 mg
CoverageD — Special coverage instructions apply
Pricing indicator51 — Drug — priced under the ASP methodology
Type of service1 — Medical care
BETOS-2O1E
ASC payment groupYY
Action codeP — Payment change
Effective date2024-01-01
Date added2023-04-01
Source: CMS HCPCS Level II code file (imported via admin).
🧮 Dosing & billing-units calculator HCPCS UNITS
One billing unit of J0613 = 10 mg. Enter a regimen to convert dose → billing units and project a full course.
Billing units = dose ÷ HCPCS unit size. Most payers require whole units — round per the payer's policy. “Est. Medicare pay” uses the current payment limit. For single-dose vials, drug discarded after administration may be separately billable with modifier JW (JZ when none is discarded) where allowed. Always verify payer-specific rounding before billing.
🔁 NDCs that bill under J0613 WITH EST. MEDICARE PAY
5 NDCs map to J0613. Bill units = how many HCPCS units one package represents. Est. pay / pkg = payment limit ($0.050/unit) × that package's bill units.
| NDC (11-digit) | Drug | Labeler | Package | Strength | Bill units | Est. pay / pkg | NADAC / unit | Status | Source |
|---|---|---|---|---|---|---|---|---|---|
| 44567-0620-24 | Calcium Gluconate in Sodium Chloride 20 mg/mL INJECTION, SOLUTION | WG | 24 POUCH in 1 CARTON (44567-620-24) / 1 B... | 20 mg/mL | 2,400 | $120.00 | — | ● Active | CMS ASP |
| 44567-0620-84 | Calcium Gluconate in Sodium Chloride 20 mg/mL INJECTION, SOLUTION | WG | 24 POUCH in 1 CARTON (44567-620-84) / 1 B... | 20 mg/mL | 2,400 | $120.00 | — | ● Active | CMS ASP |
| 44567-0621-24 | Calcium Gluconate in Sodium Chloride 20 mg/mL INJECTION, SOLUTION | WG | 24 POUCH in 1 CARTON (44567-621-24) / 1 B... | 20 mg/mL | 4,800 | $240.00 | — | ● Active | CMS ASP |
| 44567-0621-84 | Calcium Gluconate in Sodium Chloride 20 mg/mL INJECTION, SOLUTION | WG | 24 POUCH in 1 CARTON (44567-621-84) / 1 B... | 20 mg/mL | 4,800 | $240.00 | — | ● Active | CMS ASP |
| 44567-0622-24 | Calcium Gluconate in Sodium Chloride 10 mg/mL INJECTION, SOLUTION | WG | 24 POUCH in 1 CARTON (44567-622-24) / 1 B... | 10 mg/mL | 2,400 | $120.00 | — | ● Active | CMS ASP |
NDC→HCPCS mappings come from the CMS ASP NDC-HCPCS crosswalk; additional DME MAC / DMEPOS mappings come from PDAC and are labeled separately. NADAC from CMS (weekly). “Status” reflects the product's marketing / obsolete flag in the NDC directory. Presence or absence here does not determine Medicare coverage. Linked NDCs open the full product page.
📊 Medicare utilization & spend CMS · PART B · 2026 (Q1)
Period
Total Part B spend
$319.51
Claims
42
Beneficiaries
21
Spend / beneficiary
$15.21
Spend / claim
$7.61
Trend by period
Where J0613 ranks among Part B drugs · 2026 (Q1) · neighbors ±5
Total spending — #795 of 824
#790
VALPROATE SODIUM J3379
$414.28
#791
HYDROXYZINE HCL J3410
$391.37
#792
FOLIC ACID J1808
$341.31
#793
METHOTREXATE* J8610
$338.59
#794
PHENYLEPHRINE HCL-0.... J2371
$334.54
#795
CALCIUM GLUCONATE-NA... J0613
$319.51
#796
FLUCONAZOLE-NACL J1450
$308.26
#797
METHADONE HCL J1230
$278.72
#798
LABETALOL HCL J1920
$273.36
#799
CEFUROXIME SODIUM J0697
$269.35
#800
BENTYL* J0500
$265.01
Total claims — #710 of 824
#705
DERM-MAXX, PER SQ CM... Q4238
44
#706
ABILIFY ASIMTUFII J0402
43
#707
COMPLETE AA, PER SQ... Q4303
43
#708
AZACTAM* J0457
42
#709
BERINERT J0597
42
#710
CALCIUM GLUCONATE-NA... J0613
42
#711
PENICILLIN G POTASSI... J2540
42
#712
BIOVANCE 1 SQUARE CM... Q4154
42
#713
VITOGRAFT, PER SQ CM... Q4317
42
#714
ELELYSO J3060
41
#715
FEIBA J7198
40
Top Medicare Part B drugs by the selected metric. Click any drug to open its J-code page. Source: CMS Medicare Quarterly Part B Spending by Drug.
Full breakdown by period (2)
| Period | Total spend | Beneficiaries | Claims | $/beneficiary | $/claim |
|---|---|---|---|---|---|
| 2026 (Q1) | $319.51 | 21 | 42 | $15.21 | $7.61 |
| 2025 (Q1-Q4) | $1.2K | 92 | 295 | $12.76 | $3.98 |
Provider-administered (Part B) spend, calculated for the whole HCPCS code (CMS does not publish Medicare spend per individual NDC). Self-administered use is covered under Part D instead. A blank patient count means fewer than 11 people — CMS hides counts that small to protect privacy. Source: CMS Medicare Quarterly Part B Spending by Drug (data.cms.gov), updated quarterly.
📈 Medicare Part B claims detail CMS PSPS · 2024
Calendar-year 2024 Medicare Part B fee-for-service activity for this HCPCS code, summed across all carriers, localities and specialties (CMS Physician/Supplier Procedure Summary). A “service” is one billed line/unit — not one claim — so counts run higher than claim counts.
Allowed charges
$577.73
Medicare paid
$421.45
Submitted services
11,766
Denial rate
46.1%
Allowed / service
$0.09
Submitted charges
$111.2K
Source: CMS Physician/Supplier Procedure Summary (PSPS), CY2024 — Medicare Part B carrier + DME fee-for-service claims (excludes Medicare Advantage). Figures are for the whole HCPCS code, which may cover uses beyond this drug. ⚠ CMS hides any figure covering fewer than 11 patients (a privacy rule), so totals — especially denials and low-volume codes — run a little low.
🗺️ Where J0613 is utilized CMS · BY PROVIDER · 2024
Medicare Part B services for this code by the rendering provider's state — 2,152 services across 2 states & territories in 2024 (CMS reports include DC and U.S. territories). Switch to per 100k to compare states fairly regardless of population. Hover or tap a state for its top ZIP codes.
Hover or tap a state to see its numbers + top ZIP codes.
Per-capita = services ÷ 2023 state population × 100,000 (so high-population states aren't automatically "hotter"). Counts reflect the provider's location, not the patient's. Providers with fewer than 11 patients are hidden by CMS for privacy, so totals run low and per-100k can be noisy in small states — read this as relative geography, not exact counts. Source: CMS Medicare Physician & Other Practitioners — by Provider and Service, 2024.
🗃️ Data sources & freshness
Every figure on this page is computed from public datasets. Here's what each section draws on and how current it is.
HCPCS code & descriptor
CMS HCPCS Level II code file
Loaded
Payment limit & billing unit
CMS Medicare Part B ASP Pricing File (quarterly)
Q3 2026 · as of 2026-08-20
NDC ↔ HCPCS crosswalk
CMS ASP NDC-HCPCS crosswalk
5 NDCs mapped
NADAC acquisition cost
CMS National Average Drug Acquisition Cost (weekly)
Not available for mapped NDCs
Utilization & spend
CMS Part B Spending by Drug · PSPS · Physician & Other Practitioners
Latest data year 2026
Figures are estimates for reference and may lag the source files. Always verify against the current CMS files and your payer's policy before submitting claims.
⚠️ Practical billing caveats
- A crosswalk is not coverage. An NDC mapping or a published payment limit does not guarantee a payer will cover or pay this code. Check the specific plan's policy.
- Units ≠ milligrams. Bill the number of HCPCS units (dose ÷ the code's unit size), not the milligram dose. Use the calculator above.
- Discarded drug. For single-dose vials, drug discarded after administration may be separately billable with modifier JW (and JZ when nothing is discarded) where the payer allows.
- Rounding & partial units. Many payers require whole units; round per the payer's policy, not automatically up.
- The code can cover more than this drug. Some HCPCS codes span multiple products or strengths — confirm the exact code for the product administered.
- Figures lag. ASP limits change quarterly and utilization data are released with a delay. Verify against the current CMS files before billing.
❓ J0613 billing FAQ
What is HCPCS code J0613?
J0613 is a HCPCS Level II J-code used to bill Injection, calcium gluconate (wg critical care), per 10 mg under Medicare Part B and most medical (not pharmacy) benefits.
What is the billing unit for J0613?
One unit of J0613 represents 10 MG. Report the number of units equal to the dose administered divided by 10 MG.
How many units of J0613 should I bill?
Divide the dose administered by the code's unit size (10 MG) to get the number of billing units, then round per your payer's policy. The calculator on this page converts a dose into billing units and projects a full course.
How much does Medicare pay for J0613?
The Medicare Part B payment limit is $0.050 per unit (Q3 2026), based on ASP + 6%. After the 2% sequester the effective payment is about $0.049 per unit. Payment limits are revised quarterly.
Which NDCs bill under J0613?
5 NDCs currently map to J0613 in the CMS ASP NDC-HCPCS crosswalk. See the NDC crosswalk table above for each product, package, billing units and estimated reimbursement.
Does a crosswalk mean J0613 is covered?
No. An NDC-to-HCPCS crosswalk and a published payment limit do not guarantee coverage or payment. Coverage depends on the payer, the diagnosis and the site of care — always verify the current policy before billing.
For professional billing reference only — verify against the current CMS files before submitting claims.