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J1100

J1100 – Injection, dexamethasone sodium phosphate, 1 mg · NDC Crosswalk & Billing Units

HCPCS Level II J-code · Medicare Part B drug billing
J-code ● 60 NDCs crosswalked per 1 MG $0.085/unit ASP+6%

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Compiled from public FDA, CMS, DailyMed, NADAC, and related drug data sources. Editorial policy

📋 J1100 summary

J1100 is a HCPCS Level II J-code used to bill dexamethasone sodium phosphate, 1 mg, billed per 1 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 J1100: Dexamethasone Sodium Phosphate

Code J1100 Billing unit 1 MG Payment limit $0.085/unit NDC-Crosswalk 60 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 codeJ1100
DescriptorInjection, dexamethasone sodium phosphate, 1 mg
Billing unit1 MG
Payment limit / unit$0.085
Est. ASP / unit$0.080 est.
Mapped NDCs60
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
$0.085
Est. ASP / unit
$0.080 est.
Est. after 2% sequester
$0.083
HCPCS dosage
1 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, dexamethasone sodium phosphate, 1 mg
CoverageD — Special coverage instructions apply
Pricing indicator51 — Drug — priced under the ASP methodology
Type of service1 — Medical care
BETOS-2O1E
ASC payment group—
Action codeN — No maintenance this year
Effective date2001-01-01
Date added1982-01-01
Source: CMS HCPCS Level II code file (imported via admin).

🧮 Dosing & billing-units calculator HCPCS UNITS

One billing unit of J1100 = 1 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 J1100 LEAST EXPENSIVE FIRST

60 NDCs map to J1100. Bill units = how many HCPCS units one package represents. Est. pay / pkg = payment limit ($0.085/unit) × that package's bill units.
NDC (11-digit)DrugLabelerPackageStrength Bill units Est. pay / pkg NADAC / unit StatusSource
00641-6146-10 Dexamethasone Sodium Phosphate 4 mg/mL INJECTION Hikma 10 VIAL in 1 CARTON (0641-6146-10) / 5 mL... 4 mg/mL 200 $17.00 $0.201 ● Active CMS + PDAC
25021-0052-05 Dexamethasone Sodium Phosphate 4 mg/mL INJECTION, SOLUTION Sagent 25 VIAL in 1 CARTON (25021-052-05) / 5 mL... 4 mg/mL 500 $42.50 $0.238 ● Active CMS + PDAC
63323-0165-05 Dexamethasone Sodium Phosphate 4 mg/mL INJECTION, SOLUTION Fresenius 25 VIAL, MULTI-DOSE in 1 TRAY (63323-165-0... 4 mg/mL 500 $42.50 $0.238 ● Active CMS + PDAC
63323-0165-26 Dexamethasone Sodium Phosphate 4 mg/mL INJECTION, SOLUTION Fresenius 25 VIAL, MULTI-DOSE in 1 TRAY (63323-165-2... 4 mg/mL 500 $42.50 $0.238 ● Active CMS ASP
67457-0418-05 Dexamethasone Sodium Phosphate 4 mg/mL INJECTION, SOLUTION Mylan 25 VIAL in 1 CARTON (67457-418-05) / 5 mL... 4 mg/mL 500 $42.50 $0.238 ● Active CMS + PDAC
67457-0422-54 Dexamethasone Sodium Phosphate 4 mg/mL INJECTION, SOLUTION Mylan 25 VIAL in 1 CARTON (67457-422-54) / 5 mL... 4 mg/mL 500 $42.50 $0.238 ● Active CMS ASP
63323-0516-10 Dexamethasone Sodium Phosphate 10 mg/mL INJECTION, SOLUTION Fresenius 10 VIAL in 1 TRAY (63323-516-10) / 10 mL... 10 mg/mL 1,000 $85.00 $0.504 ● Active CMS + PDAC
67457-0420-10 Dexamethasone Sodium Phosphate 10 mg/mL INJECTION, SOLUTION Mylan 10 VIAL in 1 CARTON (67457-420-10) / 10 m... 10 mg/mL 1,000 $85.00 $0.504 ● Active CMS ASP
67457-0483-10 Dexamethasone Sodium Phosphate 10 mg/mL INJECTION, SOLUTION Mylan 10 VIAL in 1 CARTON (67457-483-10) / 10 m... 10 mg/mL 1,000 $85.00 $0.504 ● Active CMS + PDAC
70069-0025-10 DEXAMETHASONE SODIUM PHOSPHATE 10 mg/mL INJECTION, SOLUTION Somerset 10 VIAL in 1 CARTON (70069-025-10) / 10 m... 10 mg/mL 1,000 $85.00 $0.504 ● Active CMS + PDAC
00641-6145-25 Dexamethasone Sodium Phosphate 4 mg/mL INJECTION Hikma 25 VIAL in 1 CARTON (0641-6145-25) / 1 mL... 4 mg/mL 100 $8.50 $0.672 ● Active CMS + PDAC
25021-0052-01 Dexamethasone Sodium Phosphate 4 mg/mL INJECTION, SOLUTION Sagent 25 VIAL in 1 CARTON (25021-052-01) / 1 mL... 4 mg/mL 100 $8.50 $0.672 ● Active CMS + PDAC
63323-0165-01 Dexamethasone Sodium Phosphate 4 mg/mL INJECTION, SOLUTION Fresenius 25 VIAL in 1 TRAY (63323-165-01) / 1 mL i... 4 mg/mL 100 $8.50 $0.672 ● Active CMS + PDAC
63323-0165-16 Dexamethasone Sodium Phosphate 4 mg/mL INJECTION, SOLUTION Fresenius 25 VIAL in 1 TRAY (63323-165-16) / 1 mL i... 4 mg/mL 100 $8.50 $0.672 ● Active CMS ASP
67457-0419-01 Dexamethasone Sodium Phosphate 4 mg/mL INJECTION, SOLUTION Mylan 25 VIAL in 1 CARTON (67457-419-01) / 1 mL... 4 mg/mL 100 $8.50 $0.672 ● Active CMS + PDAC
67457-0423-12 Dexamethasone Sodium Phosphate 4 mg/mL INJECTION, SOLUTION Mylan 25 VIAL in 1 CARTON (67457-423-12) / 1 mL... 4 mg/mL 100 $8.50 $0.672 ● Active CMS ASP
72572-0120-25 Dexamethasone Sodium Phosphate 4 mg/mL INJECTION Civica, 25 VIAL in 1 CARTON (72572-120-25) / 1 mL... 4 mg/mL 100 $8.50 $0.672 ● Active CMS + PDAC
81565-0202-02 Dexamethasone Sodium Phosphate 4 mg/mL INJECTION, SOLUTION Phlow 25 VIAL in 1 TRAY (81565-202-02) / 1 mL i... 4 mg/mL 100 $8.50 $0.672 ● Active CMS ASP
63323-0165-30 Dexamethasone Sodium Phosphate 4 mg/mL INJECTION, SOLUTION Fresenius 1 VIAL, MULTI-DOSE in 1 BOX (63323-165-30)... 4 mg/mL 120 $10.20 $0.694 ● Active CMS + PDAC
00641-0367-25 Dexamethasone Sodium Phosphate 10 mg/mL INJECTION Hikma 25 VIAL in 1 CARTON (0641-0367-25) / 1 mL... 10 mg/mL 250 $21.25 $1.236 ● Active CMS + PDAC
72572-0122-25 Dexamethasone Sodium Phosphate 10 mg/mL INJECTION Civica, 25 VIAL in 1 CARTON (72572-122-25) / 1 mL... 10 mg/mL 250 $21.25 $1.236 ● Active CMS + PDAC
25021-0053-01 Dexamethasone Sodium Phosphate 10 mg/mL INJECTION, SOLUTION Sagent 25 VIAL in 1 CARTON (25021-053-01) / 1 mL... 10 mg/mL 250 $21.25 $1.293 ● Active CMS + PDAC
55150-0304-25 Dexamethasone Sodium Phosphate 10 mg/mL INJECTION Eugia 25 VIAL in 1 CARTON (55150-304-25) / 1 mL... 10 mg/mL 250 $21.25 $1.293 ● Active CMS + PDAC
63323-0506-01 Dexamethasone Sodium Phosphate 10 mg/mL INJECTION, SOLUTION Fresenius 25 VIAL in 1 TRAY (63323-506-01) / 1 mL i... 10 mg/mL 250 $21.25 $1.293 ● Active CMS + PDAC
63323-0506-16 Dexamethasone Sodium Phosphate 10 mg/mL INJECTION, SOLUTION Fresenius 25 VIAL in 1 TRAY (63323-506-16) / 1 mL i... 10 mg/mL 250 $21.25 $1.293 ● Active CMS ASP
70069-0021-25 Dexamethasone Sodium Phosphate 10 mg/mL INJECTION Somerset 25 VIAL in 1 CARTON (70069-021-25) / 1 mL... 10 mg/mL 250 $21.25 $1.293 ● Active CMS + PDAC
72485-0118-25 Dexamethasone Sodium Phosphate 10 mg/mL INJECTION, SOLUTION Armas 25 VIAL, SINGLE-DOSE in 1 CARTON (72485-11... 10 mg/mL 250 $21.25 $1.293 ● Active CMS + PDAC
00404-9795-30 Dexamethasone Sodium Phosphate 4 mg/mL INJECTION, SOLUTION Henry 1 VIAL in 1 BAG (0404-9795-30) / 30 mL in... 4 mg/mL 120 $10.20 — ● Active CMS ASP
00404-9805-05 Dexamethasone Sodium Phosphate 4 mg/mL INJECTION Henry 1 VIAL in 1 BAG (0404-9805-05) / 5 mL in... 4 mg/mL 20 $1.70 — ● Active CMS ASP
00404-9841-05 Dexamethasone Sodium Phosphate Henry — — 20 $1.70 — — CMS ASP
00404-9842-10 Dexamethasone Sodium Phosphate 10 mg/mL INJECTION, SOLUTION Henry 1 VIAL, MULTI-DOSE in 1 BAG (0404-9842-10)... 10 mg/mL 100 $8.50 — ● Active CMS ASP
00404-9843-30 Dexamethasone Sodium Phosphate Henry — — 120 $10.20 — — CMS ASP
00641-6146-25 Dexamethasone Sodium Phosphate 4 mg/mL INJECTION Hikma 25 VIAL in 1 CARTON (0641-6146-25) / 5 mL... 4 mg/mL 500 $42.50 — ● Active CMS + PDAC
50090-0414-00 Dexamethasone Sodium Phosphate 4 mg/mL INJECTION, SOLUTION A-S 1 VIAL, MULTI-DOSE in 1 BOX (50090-0414-0)... 4 mg/mL 120 $10.20 — ● Active CMS ASP
50090-0627-02 Dexamethasone Sodium Phosphate A-S — — 40 $3.40 — — CMS ASP
50090-1922-00 Dexamethasone Sodium Phosphate 4 mg/mL INJECTION, SOLUTION A-S 25 VIAL in 1 CARTON (50090-1922-0) / 1 mL... 4 mg/mL 100 $8.50 — ● Active CMS ASP
50090-1922-01 Dexamethasone Sodium Phosphate 4 mg/mL INJECTION, SOLUTION A-S 1 VIAL in 1 CARTON (50090-1922-1) / 1 mL... 4 mg/mL 4 $0.34 — ● Active CMS ASP
50090-2313-02 Dexamethasone Sodium Phosphate 4 mg/mL INJECTION, SOLUTION A-S 2 VIAL in 1 CARTON (50090-2313-2) / 5 mL... 4 mg/mL 500 $42.50 — ● Active CMS ASP
50090-3300-00 DEXAMETHASONE SODIUM PHOSPHATE 4 mg/mL INJECTION, SOLUTION A-S 25 VIAL, MULTI-DOSE in 1 CARTON (50090-330... 4 mg/mL 3,000 $255.00 — ● Active CMS ASP
50090-3541-00 Dexamethasone Sodium Phosphate 10 mg/mL INJECTION A-S 25 VIAL in 1 CARTON (50090-3541-0) / 1 mL... 10 mg/mL 250 $21.25 — ● Active CMS ASP
51662-1297-01 DEXAMETHASONE SODIUM PHOSPHATE 4 mg/mL INJECTION HF 5 mL in 1 VIAL (51662-1297-1) 4 mg/mL 20 $1.70 — ● Active CMS ASP
51662-1297-03 DEXAMETHASONE SODIUM PHOSPHATE 4 mg/mL INJECTION HF 25 POUCH in 1 CASE (51662-1297-3) / 1 mL... 4 mg/mL 500 $42.50 — ● Active CMS ASP
51662-1343-01 Dexamethasone Sodium Phosphate HF — — 10 $0.85 — — CMS ASP
51662-1343-03 DEXAMETHASONE SODIUM PHOSPHATE 10 mg/mL INJECTION HF 25 POUCH in 1 CASE (51662-1343-3) / 1 VIA... 10 mg/mL 250 $21.25 — ● Active CMS ASP
51662-1541-01 Dexamethasone Sodium Phosphate HF — — 100 $8.50 — — CMS ASP
51662-1660-01 Dexamethasone Sodium Phosphate HF — — 20 $1.70 — — CMS ASP
51662-1660-03 DEXAMETHASONE SODIUM PHOSPHATE 4 mg/mL INJECTION HF 10 POUCH in 1 CASE (51662-1660-3) / 1 VIA... 4 mg/mL 200 $17.00 — ● Active CMS ASP
55150-0239-30 DEXAMETHASONE SODIUM PHOSPHATE 4 mg/mL INJECTION, SOLUTION Eugia 25 VIAL, MULTI-DOSE in 1 CARTON (55150-239... 4 mg/mL 3,000 $255.00 — ● Active CMS + PDAC
55150-0305-10 Dexamethasone Sodium Phosphate 100 mg/10mL INJECTION Eugia 10 VIAL in 1 CARTON (55150-305-10) / 10 m... 100 mg/10mL 1,000 $85.00 — ● Active CMS + PDAC
67457-0421-30 Dexamethasone Sodium Phosphate 4 mg/mL INJECTION, SOLUTION Mylan 25 VIAL in 1 CARTON (67457-421-30) / 30 m... 4 mg/mL 3,000 $255.00 — ● Active CMS ASP
67457-0484-30 Dexamethasone Sodium Phosphate 4 mg/mL INJECTION, SOLUTION Mylan 25 VIAL in 1 CARTON (67457-484-30) / 30 m... 4 mg/mL 3,000 $255.00 — ● Active CMS + PDAC
76045-0109-10 Dexamethasone Sodium Phosphate 10 mg/mL INJECTION, EMULSION Fresenius 24 BLISTER PACK in 1 CARTON (76045-109-10)... 10 mg/mL 240 $20.40 — ● Active CMS + PDAC
76045-0210-10 Dexamethasone Sodium Phosphate 4 mg/mL INJECTION, SOLUTION Fresenius 24 BLISTER PACK in 1 CARTON (76045-210-10)... 4 mg/mL 96 $8.16 — ● Active CMS + PDAC
76045-0212-10 Dexamethasone Sodium Phosphate 10 mg/mL INJECTION, EMULSION Fresenius 24 BLISTER PACK in 1 CARTON (76045-212-10)... 10 mg/mL 240 $20.40 — ● Active CMS + PDAC
71266-1041-02 DEXAMETHASONE SODIUM PHOSPHATE (PF) 10 MG/1 ML Unknown — — 10 $0.85 — — PDAC
55150-0238-05 DEXAMETHASONE SODIUM PHOSPHATE 4 mg/mL INJECTION, SOLUTION Eugia 25 VIAL, MULTI-DOSE in 1 CARTON (55150-238... 4 mg/mL 4 $0.34 — ● Active PDAC
55150-0237-01 DEXAMETHASONE SODIUM PHOSPHATE 4 mg/mL INJECTION, SOLUTION Eugia 25 VIAL, SINGLE-DOSE in 1 CARTON (55150-23... 4 mg/mL 4 $0.34 — ● Active PDAC
00641-0367-21 DEXAMETHASONE SODIUM PHOSPHATE (VIAL, DOSETTE) 10 MG/ML Unknown — — 10 $0.85 — — PDAC
70121-1399-05 Dexamethasone Sodium Phosphate 10 mg/mL INJECTION, SOLUTION Amneal 25 VIAL in 1 CARTON (70121-1399-5) / 1 mL... 10 mg/mL 10 $0.85 — ● Active PDAC
71266-1040-02 DEXAMETHASONE SODIUM PHOSPHATE (PF) 10 MG/1 ML Unknown — — 10 $0.85 — — 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
$404.4K
Claims
455,323
Beneficiaries
324,955
Spend / beneficiary
$1.24
Spend / claim
$0.89
Trend by period
Where J1100 ranks among Part B drugs · 2026 (Q1) · neighbors ±5
Total spending — #459 of 824
#454 CYCLOSPORINE MODIFIE... J7502 $434.7K #455 APHEXDA J2277 $433.5K #456 ALDURAZYME J1931 $424.1K #457 ONCASPAR J9266 $417.8K #458 ARISTADA J1944 $412.6K #459 DEXAMETHASONE SODIUM... J1100 $404.4K #460 LYUMJEV J1813 $402.9K #461 MEMBRANE WRAP HYDR P... Q4290 $401.6K #462 FULVESTRANT J9394 $400K #463 SUNLENCA J1961 $395.8K #464 YEZTUGO(J0752) J0752 $395.7K
Total claims — #2 of 824
#1 KENALOG-10* J3301 813,059 #2 DEXAMETHASONE SODIUM... J1100 455,323 #3 KETOROLAC TROMETHAMI... J1885 440,857 #4 DEPO-MEDROL* J1010 417,801 #5 CYANOCOBALAMIN INJEC... J3420 343,052 #6 FLUZONE HIGH-DOSE * 90662 321,400 #7 IODIXANOL(Q9967)* Q9967 289,727 #8 PROLIA* J0897 260,340 #9 COMIRNATY * 91320 259,929 #10 VABYSMO J2777 242,296 #11 PREVNAR 20 90677 225,730

Full breakdown by period (2)
PeriodTotal spendBeneficiariesClaims$/beneficiary$/claim
2026 (Q1) $404.4K 324,955 455,323 $1.24 $0.89
2025 (Q1-Q4) $1.71M 1,018,214 1,971,997 $1.68 $0.87
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
$1.74M
Medicare paid
$1.28M
Submitted services
18,091,769
Denial rate
6.6%
Allowed / service
$0.10
Submitted charges
$86.25M
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 J1100 is utilized CMS · BY PROVIDER · 2024

Medicare Part B services for this code by the rendering provider's state — 15,447,593 services across 58 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 J1100

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
Dexamethasone Sodium Phosphate 19
DEXAMETHASONE SODIUM PHOSPHATE 15
NDC products by labeler
Fresenius Kabi USA, LLC 12
Eugia US LLC 5
Sagent Pharmaceuticals 4
Mylan Institutional LLC 4
Hikma Pharmaceuticals USA Inc. 3
Somerset Therapeutics, LLC 2
Civica, Inc. 2
Amneal Pharmaceuticals LLC 1

🗃️ 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 + DMEPDAC (PDAC)
60 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.

❓ J1100 billing FAQ

What is HCPCS code J1100?
J1100 is a HCPCS Level II J-code used to bill Injection, dexamethasone sodium phosphate, 1 mg under Medicare Part B and most medical (not pharmacy) benefits.
What is the billing unit for J1100?
One unit of J1100 represents 1 MG. Report the number of units equal to the dose administered divided by 1 MG.
How many units of J1100 should I bill?
Divide the dose administered by the code's unit size (1 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 J1100?
The Medicare Part B payment limit is $0.085 per unit (Q3 2026), based on ASP + 6%. After the 2% sequester the effective payment is about $0.083 per unit. Payment limits are revised quarterly.
Which NDCs bill under J1100?
60 NDCs currently map to J1100 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 J1100 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.