J0665
J0665 – Injection, bupivicaine, not otherwise specified, 0.5 mg · NDC Crosswalk & Billing Units
HCPCS Level II J-code · Medicare Part B drug billing
J-code
● 122 NDCs crosswalked per 0.5 MG $0.011/unit ASP+6%
📋 J0665 summary
J0665 is a HCPCS Level II J-code used to bill bupivicaine, not otherwise specified, 0.5 mg, billed per 0.5 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 J0665: Bupivacaine Hydrochloride, Marcaine, Sensorcaine
Code J0665
Billing unit 0.5 MG Payment limit $0.011/unit NDC-Crosswalk 122
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 codeJ0665
DescriptorInjection, bupivicaine, not otherwise specified, 0.5 mg
Billing unit0.5 MG
Payment limit / unit$0.011
Est. ASP / unit$0.010 est.
Mapped NDCs122
Data periodQ3 2026
Last updated2026-09-20
💊 About Bupivacaine / Epinephrine DRUG GUIDE
Bupivacaine, alone or combined with epinephrine, is injected to produce local or regional anesthesia or analgesia (numbing or pain relief).
The products described here (Bupivacaine Hydrochloride, with or without epinephrine; Sensorcaine; Marcaine) are indicated in adults for surgery, dental and oral surgery, diagnostic and therapeutic procedures, and obstetrical procedures.Specific concentrations are recommended for each type of block, and not all blocks are appropriate because of significant risks.
Marcaine 0.5% with epinephrine 1:200,000 and Vivacaine are labeled specifically for dental procedures by infiltration injection or nerve block in adults, and are not recommended for children.
Clinical overview from our editorial drug guide for Bupivacaine / Epinephrine. For billing reference, see the sections above.
🧾 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
$0.011
Est. ASP / unit
$0.010 est.
Est. after 2% sequester
$0.011
HCPCS dosage
0.5 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, bupivicaine, not otherwise specified, 0.5 mg
CoverageC — Carrier/MAC judgment
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 added2023-07-01
Source: CMS HCPCS Level II code file (imported via admin).
🧮 Dosing & billing-units calculator HCPCS UNITS
One billing unit of J0665 = 0.5 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 J0665 LEAST EXPENSIVE FIRST
122 NDCs map to J0665. Bill units = how many HCPCS units one package represents. Est. pay / pkg = payment limit ($0.011/unit) × that package's bill units.
| NDC (11-digit) | Drug | Labeler | Package | Strength | Bill units | Est. pay / pkg | NADAC / unit | Status | Source |
|---|---|---|---|---|---|---|---|---|---|
| 70594-0116-01 | Bupivacaine HCl Bupivacaine Hydrochloride 2.5 mg/mL INJECTION, SOLUTION | Xellia | 50 mL in 1 VIAL, MULTI-DOSE (70594-116-01) | 2.5 mg/mL | 250 | $2.75 | $0.048 | ● Active | CMS ASP |
| 71288-0723-52 | bupivacaine hydrochloride 2.5 mg/mL INJECTION, SOLUTION | Meitheal | 1 VIAL, MULTI-DOSE in 1 CARTON (71288-723-... | 2.5 mg/mL | 250 | $2.75 | $0.048 | ● Active | CMS + PDAC |
| 70069-0752-01 | Bupivacaine hydrochloride 2.5 mg/mL INJECTION, SOLUTION | Somerset | 1 VIAL in 1 CARTON (70069-752-01) / 50 mL... | 2.5 mg/mL | 5 | $0.06 | $0.048 | ● Active | PDAC |
| 70594-0119-01 | Bupivacaine HCl Bupivacaine Hydrochloride 5 mg/mL INJECTION, SOLUTION | Xellia | 50 mL in 1 VIAL, MULTI-DOSE (70594-119-01) | 5 mg/mL | 500 | $5.50 | $0.086 | ● Active | CMS ASP |
| 71288-0726-52 | bupivacaine hydrochloride 5 mg/mL INJECTION, SOLUTION | Meitheal | 1 VIAL, MULTI-DOSE in 1 CARTON (71288-726-... | 5 mg/mL | 500 | $5.50 | $0.086 | ● Active | CMS + PDAC |
| 70069-0753-01 | Bupivacaine hydrochloride 5 mg/mL INJECTION, SOLUTION | Somerset | 1 VIAL in 1 CARTON (70069-753-01) / 50 mL... | 5 mg/mL | 10 | $0.11 | $0.086 | ● Active | PDAC |
| 00143-9328-10 | Bupivacaine Hydrochloride 2.5 mg/mL INJECTION, SOLUTION | Hikma | 10 VIAL, MULTI-DOSE in 1 CARTON (0143-9328... | 2.5 mg/mL | 2,500 | $27.50 | — | ● Active | CMS + PDAC |
| 00143-9329-10 | Bupivacaine Hydrochloride 5 mg/mL INJECTION, SOLUTION | Hikma | 10 VIAL, MULTI-DOSE in 1 CARTON (0143-9329... | 5 mg/mL | 5,000 | $55.00 | — | ● Active | CMS + PDAC |
| 00143-9330-10 | Bupivacaine Hydrochloride 2.5 mg/mL INJECTION, SOLUTION | Hikma | 10 VIAL, SINGLE-DOSE in 1 CARTON (0143-933... | 2.5 mg/mL | 500 | $5.50 | — | ● Active | CMS + PDAC |
| 00143-9331-10 | Bupivacaine Hydrochloride 5 mg/mL INJECTION, SOLUTION | Hikma | 10 VIAL, SINGLE-DOSE in 1 CARTON (0143-933... | 5 mg/mL | 1,000 | $11.00 | — | ● Active | CMS + PDAC |
| 00143-9332-10 | Bupivacaine Hydrochloride 7.5 mg/mL INJECTION, SOLUTION | Hikma | 10 VIAL, SINGLE-DOSE in 1 CARTON (0143-933... | 7.5 mg/mL | 1,500 | $16.50 | — | ● Active | CMS + PDAC |
| 00143-9333-10 | Bupivacaine Hydrochloride 2.5 mg/mL INJECTION, SOLUTION | Hikma | 10 VIAL, SINGLE-DOSE in 1 CARTON (0143-933... | 2.5 mg/mL | 1,500 | $16.50 | — | ● Active | CMS + PDAC |
| 00143-9334-10 | Bupivacaine Hydrochloride 5 mg/mL INJECTION, SOLUTION | Hikma | 10 VIAL, SINGLE-DOSE in 1 CARTON (0143-933... | 5 mg/mL | 3,000 | $33.00 | — | ● Active | CMS + PDAC |
| 00143-9335-10 | Bupivacaine Hydrochloride 7.5 mg/mL INJECTION, SOLUTION | Hikma | 10 VIAL, SINGLE-DOSE in 1 CARTON (0143-933... | 7.5 mg/mL | 4,500 | $49.50 | — | ● Active | CMS + PDAC |
| 00404-9768-30 | Marcaine bupivacine hydrochloride 5 mg/mL INJECTION, SOLUTION | Henry | 1 VIAL, SINGLE-DOSE in 1 BAG (0404-9768-30... | 5 mg/mL | 300 | $3.30 | — | ● Active | CMS ASP |
| 00404-9770-10 | Marcaine bupivacaine hydrochloride 2.5 mg/mL INJECTION, SOLUTION | Henry | 1 VIAL, SINGLE-DOSE in 1 BAG (0404-9770-10... | 2.5 mg/mL | 50 | $0.55 | — | ● Active | CMS ASP |
| 00404-9826-50 | Bupivacaine Hydrochloride 2.5 mg/mL INJECTION, SOLUTION | Henry | 1 VIAL, MULTI-DOSE in 1 BAG (0404-9826-50)... | 2.5 mg/mL | 250 | $2.75 | — | ● Active | CMS ASP |
| 00404-9827-50 | Bupivacaine Hydrochloride 5 mg/mL INJECTION, SOLUTION | Henry | 1 VIAL, MULTI-DOSE in 1 BAG (0404-9827-50)... | 5 mg/mL | 500 | $5.50 | — | ● Active | CMS ASP |
| 00404-9906-10 | Marcaine | Henry | — | — | 50 | $0.55 | — | — | CMS ASP |
| 00404-9907-10 | Marcaine | Henry | — | — | 100 | $1.10 | — | — | CMS ASP |
| 00404-9907-30 | Marcaine | Henry | — | — | 300 | $3.30 | — | — | CMS ASP |
| 00404-9945-50 | Sensorcaine Bupivacaine Hydrochloride 2.5 mg/mL INJECTION, SOLUTION | Henry | 1 VIAL in 1 BAG (0404-9945-50) / 50 mL in... | 2.5 mg/mL | 250 | $2.75 | — | ● Active | CMS ASP |
| 00404-9946-10 | Sensorcaine MPF bupivacaine hydrochloride 5 mg/mL INJECTION, SOLUTION | Henry | 1 VIAL in 1 BAG (0404-9946-10) / 10 mL in... | 5 mg/mL | 100 | $1.10 | — | ● Active | CMS ASP |
| 00404-9947-50 | Sensorcaine Bupivacaine Hydrochloride 5 mg/mL INJECTION, SOLUTION | Henry | 1 VIAL, MULTI-DOSE in 1 BAG (0404-9947-50)... | 5 mg/mL | 500 | $5.50 | — | ● Active | CMS ASP |
| 00409-0525-25 | Marcaine BUPIVACAINE HYDROCHLORIDE 250 mg/50mL INJECTION, SOLUTION | Hospira, | 25 VIAL, MULTI-DOSE in 1 TRAY (0409-0525-2... | 250 mg/50mL | 12,500 | $137.50 | — | ● Active | CMS + PDAC |
| 00409-1159-01 | Bupivacaine Hydrochloride 2.5 mg/mL INJECTION, SOLUTION | Hospira, | 25 VIAL, SINGLE-DOSE in 1 TRAY (0409-1159-... | 2.5 mg/mL | 1,250 | $13.75 | — | ● Active | CMS + PDAC |
| 00409-1159-02 | Bupivacaine Hydrochloride 2.5 mg/mL INJECTION, SOLUTION | Hospira, | 25 VIAL, SINGLE-DOSE in 1 TRAY (0409-1159-... | 2.5 mg/mL | 3,750 | $41.25 | — | ● Active | CMS + PDAC |
| 00409-1159-10 | Bupivacaine Hydrochloride 2.5 mg/mL INJECTION, SOLUTION | Hospira, | 25 VIAL, SINGLE-DOSE in 1 TRAY (0409-1159-... | 2.5 mg/mL | 3,750 | $41.25 | — | ● Active | CMS ASP |
| 00409-1160-01 | Bupivacaine Hydrochloride 2.5 mg/mL INJECTION, SOLUTION | Hospira, | 25 VIAL, MULTI-DOSE in 1 TRAY (0409-1160-0... | 2.5 mg/mL | 6,250 | $68.75 | — | ● Active | CMS + PDAC |
| 00409-1162-01 | Bupivacaine Hydrochloride 5 mg/mL INJECTION, SOLUTION | Hospira, | 25 VIAL, SINGLE-DOSE in 1 TRAY (0409-1162-... | 5 mg/mL | 2,500 | $27.50 | — | ● Active | CMS + PDAC |
| 00409-1162-02 | Bupivacaine Hydrochloride 5 mg/mL INJECTION, SOLUTION | Hospira, | 25 VIAL, SINGLE-DOSE in 1 TRAY (0409-1162-... | 5 mg/mL | 7,500 | $82.50 | — | ● Active | CMS + PDAC |
| 00409-1163-01 | Bupivacaine Hydrochloride 5 mg/mL INJECTION, SOLUTION | Hospira, | 25 VIAL, MULTI-DOSE in 1 TRAY (0409-1163-0... | 5 mg/mL | 12,500 | $137.50 | — | ● Active | CMS + PDAC |
| 00409-1165-01 | Bupivacaine Hydrochloride 7.5 mg/mL INJECTION, SOLUTION | Hospira, | 25 VIAL, SINGLE-DOSE in 1 TRAY (0409-1165-... | 7.5 mg/mL | 3,750 | $41.25 | — | ● Active | CMS + PDAC |
| 00409-1165-02 | Bupivacaine Hydrochloride 7.5 mg/mL INJECTION, SOLUTION | Hospira, | 25 VIAL, SINGLE-DOSE in 1 TRAY (0409-1165-... | 7.5 mg/mL | 11,250 | $123.75 | — | ● Active | CMS + PDAC |
| 00409-1530-25 | Marcaine BUPIVACAINE HYDROCHLORIDE 150 mg/30mL INJECTION, SOLUTION | Hospira, | 25 VIAL, SINGLE-DOSE in 1 TRAY (0409-1530-... | 150 mg/30mL | 7,500 | $82.50 | — | ● Active | CMS + PDAC |
| 00409-1559-10 | Marcaine | Pfizer | — | — | 500 | $5.50 | — | — | CMS + PDAC |
| 00409-1559-30 | Marcaine | Pfizer | — | — | 1,500 | $16.50 | — | — | CMS + PDAC |
| 00409-1560-10 | Marcaine | Pfizer | — | — | 1,000 | $11.00 | — | — | CMS + PDAC |
| 00409-1560-29 | Marcaine | Pfizer | — | — | 3,000 | $33.00 | — | — | CMS + PDAC |
| 00409-1582-10 | Marcaine BUPIVACAINE HYDROCHLORIDE 7.5 mg/mL INJECTION, SOLUTION | Hospira, | 10 VIAL, SINGLE-DOSE in 1 TRAY (0409-1582-... | 7.5 mg/mL | 1,500 | $16.50 | — | ● Active | CMS + PDAC |
| 00409-1582-29 | Marcaine BUPIVACAINE HYDROCHLORIDE 7.5 mg/mL INJECTION, SOLUTION | Hospira, | 10 VIAL, SINGLE-DOSE in 1 CARTON (0409-158... | 7.5 mg/mL | 4,500 | $49.50 | — | ● Active | CMS + PDAC |
| 00409-1587-50 | Marcaine BUPIVACAINE HYDROCHLORIDE 2.5 mg/mL INJECTION, SOLUTION | Hospira, | 1 VIAL, MULTI-DOSE in 1 CARTON (0409-1587-... | 2.5 mg/mL | 250 | $2.75 | — | ● Active | CMS + PDAC |
| 00409-1610-50 | Marcaine | Pfizer | — | — | 500 | $5.50 | — | — | CMS + PDAC |
| 00409-1761-10 | Marcaine Spinal Bupivacaine Hydrochloride in Dextrose 7.5 mg/mL INJECTION, SOLUTION | Hospira, | 2 CELLO PACK in 1 CARTON (0409-1761-10) /... | 7.5 mg/mL | 300 | $3.30 | — | ● Active | CMS + PDAC |
| 00409-1761-62 | Marcaine Spinal Bupivacaine Hydrochloride in Dextrose 7.5 mg/mL INJECTION, SOLUTION | Hospira, | 800 AMPULE in 1 CASE (0409-1761-62) / 2 m... | 7.5 mg/mL | 24,000 | $264.00 | — | ● Active | CMS ASP |
| 00409-2253-25 | Marcaine BUPIVACAINE HYDROCHLORIDE 225 mg/30mL INJECTION, SOLUTION | Hospira, | 25 VIAL, SINGLE-DOSE in 1 TRAY (0409-2253-... | 225 mg/30mL | 11,250 | $123.75 | — | ● Active | CMS + PDAC |
| 00409-2510-25 | Marcaine BUPIVACAINE HYDROCHLORIDE 25 mg/10mL INJECTION, SOLUTION | Hospira, | 25 VIAL, SINGLE-DOSE in 1 TRAY (0409-2510-... | 25 mg/10mL | 1,250 | $13.75 | — | ● Active | CMS + PDAC |
| 00409-5010-25 | Marcaine BUPIVACAINE HYDROCHLORIDE 50 mg/10mL INJECTION, SOLUTION | Hospira, | 25 VIAL, SINGLE-DOSE in 1 TRAY (0409-5010-... | 50 mg/10mL | 2,500 | $27.50 | — | ● Active | CMS + PDAC |
| 00409-7535-25 | Marcaine BUPIVACAINE HYDROCHLORIDE 75 mg/30mL INJECTION, SOLUTION | Hospira, | 25 VIAL, SINGLE-DOSE in 1 TRAY (0409-7535-... | 75 mg/30mL | 3,750 | $41.25 | — | ● Active | CMS + PDAC |
| 50090-4516-00 | Bupivacaine Hydrochloride 5 mg/mL INJECTION, SOLUTION | A-S | 50 mL in 1 VIAL, MULTI-DOSE (50090-4516-0) | 5 mg/mL | 500 | $5.50 | — | ● Active | CMS ASP |
| 51662-1396-01 | BUPIVACAINE HYDROCHLORIDE 5 mg/mL INJECTION, SOLUTION | HF | 50 mL in 1 VIAL, MULTI-DOSE (51662-1396-1) | 5 mg/mL | 500 | $5.50 | — | ● Active | CMS ASP |
| 51662-1396-03 | BUPIVACAINE HYDROCHLORIDE 5 mg/mL INJECTION, SOLUTION | HF | 25 POUCH in 1 CASE (51662-1396-3) / 1 mL... | 5 mg/mL | 12,500 | $137.50 | — | ● Active | CMS ASP |
| 51662-1581-03 | BUPIVACAINE HCI 2.5 mg/mL INJECTION, SOLUTION | HF | 25 POUCH in 1 CASE (51662-1581-3) / 1 VIA... | 2.5 mg/mL | 6,250 | $68.75 | — | ● Active | CMS ASP |
| 51662-1588-03 | BUPIVACAINE HCl 5 mg/mL INJECTION, SOLUTION | HF | 25 POUCH in 1 CASE (51662-1588-3) / 1 VIA... | 5 mg/mL | 12,500 | $137.50 | — | ● Active | CMS ASP |
| 51662-1592-03 | BUPIVACAINE HCl 2.5 mg/mL INJECTION, SOLUTION | HF | 25 POUCH in 1 CASE (51662-1592-3) / 1 VIA... | 2.5 mg/mL | 6,250 | $68.75 | — | ● Active | CMS ASP |
| 52584-0465-57 | Bupivacaine HCl | Henry | — | — | 250 | $2.75 | — | — | CMS ASP |
| 52584-0467-57 | Bupivacaine HCl | Henry | — | — | 500 | $5.50 | — | — | CMS ASP |
| 55150-0167-10 | Bupivacaine Hydrochloride 2.5 mg/mL INJECTION, SOLUTION | Eugia | 25 VIAL, SINGLE-DOSE in 1 CARTON (55150-16... | 2.5 mg/mL | 1,250 | $13.75 | — | ● Active | CMS ASP |
| 55150-0168-30 | Bupivacaine Hydrochloride 2.5 mg/mL INJECTION, SOLUTION | Eugia | 25 VIAL, SINGLE-DOSE in 1 CARTON (55150-16... | 2.5 mg/mL | 3,750 | $41.25 | — | ● Active | CMS ASP |
| 55150-0169-10 | Bupivacaine Hydrochloride 5 mg/mL INJECTION, SOLUTION | Eugia | 25 VIAL, SINGLE-DOSE in 1 CARTON (55150-16... | 5 mg/mL | 2,500 | $27.50 | — | ● Active | CMS ASP |
| 55150-0170-30 | Bupivacaine Hydrochloride 5 mg/mL INJECTION, SOLUTION | Eugia | 25 VIAL, SINGLE-DOSE in 1 CARTON (55150-17... | 5 mg/mL | 7,500 | $82.50 | — | ● Active | CMS ASP |
| 55150-0171-10 | Bupivacaine Hydrochloride 7.5 mg/mL INJECTION, SOLUTION | Eugia | 25 VIAL, SINGLE-DOSE in 1 CARTON (55150-17... | 7.5 mg/mL | 3,750 | $41.25 | — | ● Active | CMS ASP |
| 55150-0172-30 | Bupivacaine Hydrochloride 7.5 mg/mL INJECTION, SOLUTION | Eugia | 25 VIAL, SINGLE-DOSE in 1 CARTON (55150-17... | 7.5 mg/mL | 11,250 | $123.75 | — | ● Active | CMS ASP |
| 55150-0249-50 | Bupivacaine Hydrochloride 2.5 mg/mL INJECTION, SOLUTION | Eugia | 25 VIAL, MULTI-DOSE in 1 CARTON (55150-249... | 2.5 mg/mL | 6,250 | $68.75 | — | ● Active | CMS ASP |
| 55150-0250-50 | Bupivacaine Hydrochloride 5 mg/mL INJECTION, SOLUTION | Eugia | 25 VIAL, MULTI-DOSE in 1 CARTON (55150-250... | 5 mg/mL | 12,500 | $137.50 | — | ● Active | CMS ASP |
| 63323-0464-17 | SENSORCAINE MPF BUPIVACAINE HYDROCHLORIDE 2.5 mg/mL INJECTION, SOLUTION | Fresenius | 25 VIAL, SINGLE-DOSE in 1 TRAY (63323-464-... | 2.5 mg/mL | 1,250 | $13.75 | — | ● Active | CMS ASP |
| 63323-0464-37 | SENSORCAINE MPF BUPIVACAINE HYDROCHLORIDE 2.5 mg/mL INJECTION, SOLUTION | Fresenius | 25 VIAL, SINGLE-DOSE in 1 TRAY (63323-464-... | 2.5 mg/mL | 3,750 | $41.25 | — | ● Active | CMS ASP |
| 63323-0464-38 | SENSORCAINE MPF BUPIVACAINE HYDROCHLORIDE 2.5 mg/mL INJECTION, SOLUTION | Fresenius | 25 VIAL, SINGLE-DOSE in 1 TRAY (63323-464-... | 2.5 mg/mL | 1,250 | $13.75 | — | ● Active | CMS + PDAC |
| 63323-0464-39 | SENSORCAINE MPF BUPIVACAINE HYDROCHLORIDE 2.5 mg/mL INJECTION, SOLUTION | Fresenius | 25 VIAL, SINGLE-DOSE in 1 TRAY (63323-464-... | 2.5 mg/mL | 3,750 | $41.25 | — | ● Active | CMS + PDAC |
| 63323-0465-57 | SENSORCAINE BUPIVACAINE HYDROCHLORIDE 2.5 mg/mL INJECTION, SOLUTION | Fresenius | 25 VIAL, MULTI-DOSE in 1 TRAY (63323-465-5... | 2.5 mg/mL | 6,250 | $68.75 | — | ● Active | CMS ASP |
| 63323-0466-17 | SENSORCAINE MPF BUPIVACAINE HYDROCHLORIDE 5 mg/mL INJECTION, SOLUTION | Fresenius | 25 VIAL, SINGLE-DOSE in 1 TRAY (63323-466-... | 5 mg/mL | 2,500 | $27.50 | — | ● Active | CMS ASP |
| 63323-0466-37 | SENSORCAINE MPF BUPIVACAINE HYDROCHLORIDE 5 mg/mL INJECTION, SOLUTION | Fresenius | 25 VIAL, SINGLE-DOSE in 1 TRAY (63323-466-... | 5 mg/mL | 7,500 | $82.50 | — | ● Active | CMS ASP |
| 63323-0466-38 | SENSORCAINE MPF BUPIVACAINE HYDROCHLORIDE 5 mg/mL INJECTION, SOLUTION | Fresenius | 25 VIAL, SINGLE-DOSE in 1 TRAY (63323-466-... | 5 mg/mL | 2,500 | $27.50 | — | ● Active | CMS + PDAC |
| 63323-0466-39 | SENSORCAINE MPF BUPIVACAINE HYDROCHLORIDE 5 mg/mL INJECTION, SOLUTION | Fresenius | 25 VIAL, SINGLE-DOSE in 1 TRAY (63323-466-... | 5 mg/mL | 7,500 | $82.50 | — | ● Active | CMS + PDAC |
| 63323-0467-57 | SENSORCAINE BUPIVACAINE HYDROCHLORIDE 5 mg/mL INJECTION, SOLUTION | Fresenius | 25 VIAL, MULTI-DOSE in 1 TRAY (63323-467-5... | 5 mg/mL | 12,500 | $137.50 | — | ● Active | CMS ASP |
| 63323-0472-17 | SENSORCAINE MPF BUPIVACAINE HYDROCHLORIDE 7.5 mg/mL INJECTION, SOLUTION | Fresenius | 25 VIAL, SINGLE-DOSE in 1 TRAY (63323-472-... | 7.5 mg/mL | 3,750 | $41.25 | — | Obsolete | CMS ASP |
| 63323-0472-37 | SENSORCAINE MPF BUPIVACAINE HYDROCHLORIDE 7.5 mg/mL INJECTION, SOLUTION | Fresenius | 25 VIAL, SINGLE-DOSE in 1 TRAY (63323-472-... | 7.5 mg/mL | 11,250 | $123.75 | — | Obsolete | CMS ASP |
| 70069-0752-25 | Bupivacaine hydrochloride 2.5 mg/mL INJECTION, SOLUTION | Somerset | 25 VIAL in 1 CARTON (70069-752-25) / 50 m... | 2.5 mg/mL | 6,250 | $68.75 | — | ● Active | CMS + PDAC |
| 70594-0114-02 | Bupivacaine HCl Bupivacaine hydrochloride 2.5 mg/mL INJECTION, SOLUTION | Xellia | 10 VIAL in 1 CARTON (70594-114-02) / 10 m... | 2.5 mg/mL | 500 | $5.50 | — | ● Active | CMS ASP |
| 70594-0115-01 | BUPIVACAINE HCl Bupivacaine hydrochloride 2.5 mg/mL INJECTION, SOLUTION | Xellia | 30 mL in 1 VIAL, SINGLE-DOSE (70594-115-01... | 2.5 mg/mL | 150 | $1.65 | — | ● Active | CMS ASP |
| 70594-0117-02 | Bupivacaine HCl Bupivacaine hydrochloride 5 mg/mL INJECTION, SOLUTION | Xellia | 10 VIAL in 1 CARTON (70594-117-02) / 10 m... | 5 mg/mL | 1,000 | $11.00 | — | ● Active | CMS ASP |
| 70594-0118-01 | Bupivacaine HCl Bupivacaine hydrochloride 5 mg/mL INJECTION, SOLUTION | Xellia | 30 mL in 1 VIAL, SINGLE-DOSE (70594-118-01... | 5 mg/mL | 300 | $3.30 | — | ● Active | CMS ASP |
| 70594-0120-02 | Bupivacaine HCl Bupivacaine hydrochloride 7.5 mg/mL INJECTION, SOLUTION | Xellia | 10 VIAL in 1 CARTON (70594-120-02) / 10 m... | 7.5 mg/mL | 1,500 | $16.50 | — | ● Active | CMS ASP |
| 70594-0121-01 | Bupivacine HCl Bupivacaine hydrochloride 7.5 mg/mL INJECTION, SOLUTION | Xellia | 30 mL in 1 VIAL, SINGLE-DOSE (70594-121-01... | 7.5 mg/mL | 450 | $4.95 | — | ● Active | CMS ASP |
| 71288-0721-11 | Bupivacaine HCl | Meitheal | — | — | 50 | $0.55 | — | — | CMS + PDAC |
| 71288-0722-32 | bupivacaine hydrochloride 2.5 mg/mL INJECTION, SOLUTION | Meitheal | 1 VIAL, SINGLE-DOSE in 1 CARTON (71288-722... | 2.5 mg/mL | 150 | $1.65 | — | Obsolete | CMS + PDAC |
| 71288-0724-11 | Bupivacaine HCl | Meitheal | — | — | 100 | $1.10 | — | — | CMS + PDAC |
| 71288-0725-32 | bupivacaine hydrochloride 5 mg/mL INJECTION, SOLUTION | Meitheal | 1 VIAL, SINGLE-DOSE in 1 CARTON (71288-725... | 5 mg/mL | 300 | $3.30 | — | Obsolete | CMS + PDAC |
| 71288-0727-11 | Bupivacaine HCl | Meitheal | — | — | 150 | $1.65 | — | — | CMS + PDAC |
| 71288-0728-32 | Bupivacaine HCl | Meitheal | — | — | 450 | $4.95 | — | — | CMS + PDAC |
| 71351-0022-10 | Bupivacaine Hydrochloride 7.5 mg/mL INJECTION | Brookfield | 10 AMPULE in 1 PACKAGE (71351-022-10) / 2... | 7.5 mg/mL | 300 | $3.30 | — | ● Active | CMS + PDAC |
| 72266-0263-10 | Bupivacaine Hydrochloride 2.5 mg/mL INJECTION, SOLUTION | Fosun | 10 VIAL in 1 CARTON (72266-263-10) / 10 m... | 2.5 mg/mL | 500 | $5.50 | — | ● Active | CMS + PDAC |
| 72266-0264-10 | Bupivacaine Hydrochloride 5 mg/mL INJECTION, SOLUTION | Fosun | 10 VIAL in 1 CARTON (72266-264-10) / 10 m... | 5 mg/mL | 1,000 | $11.00 | — | ● Active | CMS + PDAC |
| 72603-0279-25 | bupivacaine hydrochloride 2.5 mg/mL INJECTION, SOLUTION | Northstar | 25 VIAL, MULTI-DOSE in 1 CARTON (72603-279... | 2.5 mg/mL | 6,250 | $68.75 | — | ● Active | CMS + PDAC |
| 72603-0287-25 | bupivacaine hydrochloride 5 mg/mL INJECTION, SOLUTION | Northstar | 25 VIAL, MULTI-DOSE in 1 CARTON (72603-287... | 5 mg/mL | 12,500 | $137.50 | — | ● Active | CMS + PDAC |
| 72603-0327-25 | BUPIVACAINE HYDROCHLORIDE 2.5 mg/mL INJECTION, SOLUTION | NorthStar | 25 VIAL, SINGLE-DOSE in 1 CARTON (72603-32... | 2.5 mg/mL | 1,250 | $13.75 | — | ● Active | CMS + PDAC |
| 72603-0506-10 | BUPIVACAINE HYDROCHLORIDE 5 mg/mL INJECTION, SOLUTION | NorthStar | 10 VIAL, SINGLE-DOSE in 1 CARTON (72603-50... | 5 mg/mL | 1,000 | $11.00 | — | ● Active | CMS + PDAC |
| 72603-0506-25 | BUPIVACAINE HYDROCHLORIDE 5 mg/mL INJECTION, SOLUTION | NorthStar | 25 VIAL, SINGLE-DOSE in 1 CARTON (72603-50... | 5 mg/mL | 2,500 | $27.50 | — | ● Active | CMS + PDAC |
| 72603-0700-10 | BUPIVACAINE HYDROCHLORIDE 7.5 mg/mL INJECTION, SOLUTION | NorthStar | 10 VIAL, SINGLE-DOSE in 1 CARTON (72603-70... | 7.5 mg/mL | 1,500 | $16.50 | — | ● Active | CMS + PDAC |
| 72603-0700-25 | BUPIVACAINE HYDROCHLORIDE 7.5 mg/mL INJECTION, SOLUTION | NorthStar | 25 VIAL, SINGLE-DOSE in 1 CARTON (72603-70... | 7.5 mg/mL | 3,750 | $41.25 | — | ● Active | CMS + PDAC |
| 72603-0800-25 | BUPIVACAINE HYDROCHLORIDE 7.5 mg/mL INJECTION, SOLUTION | NorthStar | 25 VIAL, SINGLE-DOSE in 1 CARTON (72603-80... | 7.5 mg/mL | 11,250 | $123.75 | — | ● Active | CMS + PDAC |
| 31722-0275-33 | BUPIVACAINE HYDROCHLORIDE 2.5 mg/mL INJECTION, SOLUTION | Camber | 10 VIAL, SINGLE-DOSE in 1 CARTON (31722-27... | 2.5 mg/mL | 5 | $0.06 | — | ● Active | PDAC |
| 31722-0275-32 | BUPIVACAINE HYDROCHLORIDE 2.5 mg/mL INJECTION, SOLUTION | Camber | 25 VIAL, SINGLE-DOSE in 1 CARTON (31722-27... | 2.5 mg/mL | 5 | $0.06 | — | ● Active | PDAC |
| 31722-0275-31 | BUPIVACAINE HYDROCHLORIDE 2.5 mg/mL INJECTION, SOLUTION | Camber | 10 VIAL, SINGLE-DOSE in 1 CARTON (31722-27... | 2.5 mg/mL | 5 | $0.06 | — | ● Active | PDAC |
| 31722-0276-33 | BUPIVACAINE HYDROCHLORIDE 5 mg/mL INJECTION, SOLUTION | Camber | 10 VIAL, SINGLE-DOSE in 1 CARTON (31722-27... | 5 mg/mL | 10 | $0.11 | — | ● Active | PDAC |
| 31722-0275-34 | BUPIVACAINE HYDROCHLORIDE 2.5 mg/mL INJECTION, SOLUTION | Camber | 25 VIAL, SINGLE-DOSE in 1 CARTON (31722-27... | 2.5 mg/mL | 5 | $0.06 | — | ● Active | PDAC |
| 31722-0276-34 | BUPIVACAINE HYDROCHLORIDE 5 mg/mL INJECTION, SOLUTION | Camber | 25 VIAL, SINGLE-DOSE in 1 CARTON (31722-27... | 5 mg/mL | 10 | $0.11 | — | ● Active | PDAC |
| 31722-0277-31 | BUPIVACAINE HYDROCHLORIDE 7.5 mg/mL INJECTION, SOLUTION | Camber | 10 VIAL, SINGLE-DOSE in 1 CARTON (31722-27... | 7.5 mg/mL | 15 | $0.17 | — | ● Active | PDAC |
| 31722-0277-32 | BUPIVACAINE HYDROCHLORIDE 7.5 mg/mL INJECTION, SOLUTION | Camber | 25 VIAL, SINGLE-DOSE in 1 CARTON (31722-27... | 7.5 mg/mL | 15 | $0.17 | — | ● Active | PDAC |
| 31722-0277-33 | BUPIVACAINE HYDROCHLORIDE 7.5 mg/mL INJECTION, SOLUTION | Camber | 10 VIAL, SINGLE-DOSE in 1 CARTON (31722-27... | 7.5 mg/mL | 15 | $0.17 | — | ● Active | PDAC |
| 31722-0276-31 | BUPIVACAINE HYDROCHLORIDE 5 mg/mL INJECTION, SOLUTION | Camber | 10 VIAL, SINGLE-DOSE in 1 CARTON (31722-27... | 5 mg/mL | 10 | $0.11 | — | ● Active | PDAC |
| 31722-0276-32 | BUPIVACAINE HYDROCHLORIDE 5 mg/mL INJECTION, SOLUTION | Camber | 25 VIAL, SINGLE-DOSE in 1 CARTON (31722-27... | 5 mg/mL | 10 | $0.11 | — | ● Active | PDAC |
| 31722-0277-34 | BUPIVACAINE HYDROCHLORIDE 7.5 mg/mL INJECTION, SOLUTION | Camber | 25 VIAL, SINGLE-DOSE in 1 CARTON (31722-27... | 7.5 mg/mL | 15 | $0.17 | — | ● Active | PDAC |
| 72603-0327-10 | BUPIVACAINE HYDROCHLORIDE 2.5 mg/mL INJECTION, SOLUTION | NorthStar | 10 VIAL, SINGLE-DOSE in 1 CARTON (72603-32... | 2.5 mg/mL | 5 | $0.06 | — | ● Active | PDAC |
| 72603-0415-10 | BUPIVACAINE HCL 0.25% | Unknown | — | — | 5 | $0.06 | — | — | PDAC |
| 72603-0415-25 | BUPIVACAINE HYDROCHLORIDE 2.5 mg/mL INJECTION, SOLUTION | NorthStar | 25 VIAL, SINGLE-DOSE in 1 CARTON (72603-41... | 2.5 mg/mL | 5 | $0.06 | — | ● Active | PDAC |
| 72603-0602-25 | BUPIVACAINE HYDROCHLORIDE 5 mg/mL INJECTION, SOLUTION | NorthStar | 25 VIAL, SINGLE-DOSE in 1 CARTON (72603-60... | 5 mg/mL | 10 | $0.11 | — | ● Active | PDAC |
| 70069-0753-10 | Bupivacaine hydrochloride 5 mg/mL INJECTION, SOLUTION | Somerset | 10 VIAL in 1 CARTON (70069-753-10) / 50 m... | 5 mg/mL | 10 | $0.11 | — | ● Active | PDAC |
| 70069-0752-10 | Bupivacaine hydrochloride 2.5 mg/mL INJECTION, SOLUTION | Somerset | 10 VIAL in 1 CARTON (70069-752-10) / 50 m... | 2.5 mg/mL | 5 | $0.06 | — | ● Active | PDAC |
| 70069-0753-25 | Bupivacaine hydrochloride 5 mg/mL INJECTION, SOLUTION | Somerset | 25 VIAL in 1 CARTON (70069-753-25) / 50 m... | 5 mg/mL | 10 | $0.11 | — | ● Active | PDAC |
| 76420-0018-10 | Bupivacaine Hydrochloride 2.5 mg/mL INJECTION, SOLUTION | Asclemed | 10 mL in 1 VIAL, SINGLE-DOSE (76420-018-10... | 2.5 mg/mL | 5 | $0.06 | — | ● Active | PDAC |
| 00409-3613-01 | Bupivacaine Spinal BUPIVACAINE HYDROCHLORIDE IN DEXTROSE 7.5 mg/mL INJECTION, SOLUTION | Hospira, | 10 AMPULE in 1 CARTON (0409-3613-01) / 2... | 7.5 mg/mL | 15 | $0.17 | — | ● Active | PDAC |
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
$8.1K
Claims
24,071
Beneficiaries
19,830
Spend / beneficiary
$0.41
Spend / claim
$0.34
Trend by period
Where J0665 ranks among Part B drugs · 2026 (Q1) · neighbors ±5
Total spending — #694 of 824
#689
BRIXADI(J0577) J0577
$9.6K
#690
DEXTROSE IN WATER(J7... J7060
$9.4K
#691
CEFTAZIDIME* J0713
$9.3K
#692
BLEOMYCIN SULFATE J9040
$9.1K
#693
MORPHINE SULFATE(J22... J2270
$8.2K
#694
BUPIVACAINE HCL* J0665
$8.1K
#695
MIDAZOLAM HCL J2250
$8K
#696
PFIZER COVID (6M-4... 91318
$7.4K
#697
BORTEZOMIB(J9049) J9049
$6.9K
#698
ARGATROBAN-0.9% NACL... J0883
$6.7K
#699
DIHYDROERGOTAMINE ME... J1110
$6.5K
Total claims — #92 of 824
#87
MAGNESIUM SULFATE-D5... J3475
26,029
#88
IMFINZI J9173
25,264
#89
KISUNLA J0175
25,188
#90
NPLATE J2802
24,900
#91
SYNVISC-ONE* J7325
24,623
#92
BUPIVACAINE HCL* J0665
24,071
#93
BCG (TICE STRAIN)(J9... J9030
23,898
#94
ELUCIREM* A9573
23,837
#95
OHTUVAYRE J7601
22,564
#96
LEUCOVORIN CALCIUM J0640
21,924
#97
ABRAXANE* J9264
21,913
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) | $8.1K | 19,830 | 24,071 | $0.41 | $0.34 |
| 2025 (Q1-Q4) | $28.1K | 55,247 | 89,935 | $0.51 | $0.31 |
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
$26.3K
Medicare paid
$20K
Submitted services
5,504,209
Denial rate
53.3%
Allowed / service
$0.01
Submitted charges
$16.36M
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 J0665 is utilized CMS · BY PROVIDER · 2024
Medicare Part B services for this code by the rendering provider's state — 2,264,496 services across 46 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.
📊 What bills under J0665
J-codes are billing codes often used for drugs billed under the medical benefit. This connects the billing code to the NDC package records it covers, by ingredient and labeler.
NDC products by ingredient
NDC products by labeler
🗃️ 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 2026-09-20
NDC ↔ HCPCS crosswalk
CMS ASP NDC-HCPCS crosswalk + DMEPDAC (PDAC)
122 NDCs mapped
NADAC acquisition cost
CMS National Average Drug Acquisition Cost (weekly)
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.
❓ J0665 billing FAQ
What is HCPCS code J0665?
J0665 is a HCPCS Level II J-code used to bill Injection, bupivicaine, not otherwise specified, 0.5 mg under Medicare Part B and most medical (not pharmacy) benefits.
What is the billing unit for J0665?
One unit of J0665 represents 0.5 MG. Report the number of units equal to the dose administered divided by 0.5 MG.
How many units of J0665 should I bill?
Divide the dose administered by the code's unit size (0.5 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 J0665?
The Medicare Part B payment limit is $0.011 per unit (Q3 2026), based on ASP + 6%. After the 2% sequester the effective payment is about $0.011 per unit. Payment limits are revised quarterly.
Which NDCs bill under J0665?
122 NDCs currently map to J0665 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 J0665 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.