Home › NDC Lookup › J-codes › J1885

J1885

J1885 – Injection, ketorolac tromethamine, per 15 mg · NDC Crosswalk & Billing Units

HCPCS Level II J-code · Medicare Part B drug billing

J-code ● 94 NDCs crosswalked per 15 MG $0.286/unit ASP+6%

This page is curated, coded, and maintained by Dr. Brian Staiger, PharmD

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

📋 J1885 summary

J1885 is a HCPCS Level II J-code used to bill ketorolac tromethamine, per 15 mg, billed per 15 MG. The number of billing units to report depends on the dose administered and the NDC/package billed — use the calculator below.

Code J1885 Billing unit 15 MG Payment limit $0.286/unit NDC-Crosswalk 94 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 codeJ1885

DescriptorInjection, ketorolac tromethamine, per 15 mg

Billing unit15 MG

Payment limit / unit$0.286

Est. ASP / unit$0.270 est.

Mapped NDCs94

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

$0.286

Est. ASP / unit

$0.270 est.

Est. after 2% sequester

$0.280

HCPCS dosage

15 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, ketorolac tromethamine, per 15 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 date1997-01-01

Date added1993-01-01

Source: CMS HCPCS Level II code file (imported via admin).

🧮 Dosing & billing-units calculator HCPCS UNITS

One billing unit of J1885 = 15 mg. Enter a regimen to convert dose → billing units and project a full course.

Dose per administration (mg) Frequency — every days Number of doses NDC / package billed (optional)

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 J1885 LEAST EXPENSIVE FIRST

94 NDCs map to J1885. Bill units = how many HCPCS units one package represents. Est. pay / pkg = payment limit ($0.286/unit) × that package's bill units.

NDC (11-digit)	Drug	Labeler	Package	Strength	Bill units	Est. pay / pkg	NADAC / unit	Status	Source
00409-3796-01	Ketorolac Tromethamine 60 mg/2mL INJECTION, SOLUTION	Hospira,	25 VIAL, SINGLE-DOSE in 1 TRAY (0409-3796-...	60 mg/2mL	100	$28.60	$0.498	● Active	CMS + PDAC
00409-3796-25	Ketorolac Tromethamine 60 mg/2mL INJECTION, SOLUTION	Hospira,	25 VIAL, SINGLE-DOSE in 1 CARTON (0409-379...	60 mg/2mL	100	$28.60	$0.498	● Active	CMS + PDAC
25021-0701-02	Ketorolac Tromethamine 30 mg/mL INJECTION, SOLUTION	Sagent	25 VIAL in 1 CARTON (25021-701-02) / 2 mL...	30 mg/mL	100	$28.60	$0.498	● Active	CMS + PDAC
62332-0601-25	Ketorolac Tromethamine 60 mg/2mL INJECTION	Alembic	25 VIAL in 1 CARTON (62332-601-25) / 2 mL...	60 mg/2mL	100	$28.60	$0.498	● Active	CMS + PDAC
63323-0162-02	Ketorolac Tromethamine 30 mg/mL INJECTION, SOLUTION	Fresenius	25 VIAL, SINGLE-USE in 1 TRAY (63323-162-0...	30 mg/mL	100	$28.60	$0.498	● Active	CMS + PDAC
63323-0162-14	Ketorolac Tromethamine 30 mg/mL INJECTION, SOLUTION	Fresenius	25 VIAL, SINGLE-DOSE in 1 TRAY (63323-162-...	30 mg/mL	100	$28.60	$0.498	● Active	CMS ASP
63323-0162-26	Ketorolac Tromethamine 30 mg/mL INJECTION, SOLUTION	Fresenius	25 VIAL, SINGLE-USE in 1 TRAY (63323-162-2...	30 mg/mL	100	$28.60	$0.498	● Active	CMS ASP
65145-0147-25	KETOROLAC TROMETHAMINE 60 mg/2mL INJECTION, SOLUTION	Caplin	25 VIAL, SINGLE-DOSE in 1 CARTON (65145-14...	60 mg/2mL	100	$28.60	$0.498	● Active	CMS + PDAC
68462-0757-25	KETOROLAC TROMETHAMINE 60 mg/2mL INJECTION, SOLUTION	GLENMARK	25 VIAL, SINGLE-DOSE in 1 CARTON (68462-75...	60 mg/2mL	100	$28.60	$0.498	● Active	CMS + PDAC
70512-0844-25	Ketorolac Tromethamine 30 mg/mL INJECTION	SOLA	25 VIAL in 1 CARTON (70512-844-25) / 2 mL...	30 mg/mL	100	$28.60	$0.498	● Active	CMS + PDAC
72266-0119-25	ketorolac tromethamine 30 mg/mL INJECTION, SOLUTION	FOSUN	25 VIAL in 1 CARTON (72266-119-25) / 2 mL...	30 mg/mL	100	$28.60	$0.498	● Active	CMS + PDAC
31722-0307-25	KETOROLAC TROMETHAMINE 60 mg/2mL INJECTION, SOLUTION	Camber	25 VIAL, SINGLE-DOSE in 1 CARTON (31722-30...	60 mg/2mL	2	$0.57	$0.498	● Active	PDAC
72603-0172-25	KETOROLAC TROMETHAMINE 60 mg/2mL INJECTION, SOLUTION	NorthStar	25 VIAL, SINGLE-DOSE in 1 CARTON (72603-17...	60 mg/2mL	2	$0.57	$0.498	● Active	PDAC
72603-0161-25	KETOROLAC TROMETHAMINE 30 mg/mL INJECTION, SOLUTION	NorthStar	25 VIAL, SINGLE-DOSE in 1 CARTON (72603-16...	30 mg/mL	50	$14.30	$0.879	● Active	CMS + PDAC
00409-3793-01	Ketorolac Tromethamine 15 mg/mL INJECTION, SOLUTION	Hospira,	25 VIAL, SINGLE-DOSE in 1 TRAY (0409-3793-...	15 mg/mL	25	$7.15	$0.946	Obsolete	CMS + PDAC
00409-3793-25	Ketorolac Tromethamine 15 mg/mL INJECTION, SOLUTION	Hospira,	25 VIAL, SINGLE-DOSE in 1 CARTON (0409-379...	15 mg/mL	25	$7.15	$0.946	● Active	CMS + PDAC
25021-0700-01	Ketorolac Tromethamine 15 mg/mL INJECTION, SOLUTION	Sagent	25 VIAL in 1 CARTON (25021-700-01) / 1 mL...	15 mg/mL	25	$7.15	$0.946	● Active	CMS + PDAC
62332-0599-25	Ketorolac Tromethamine 15 mg/mL INJECTION	Alembic	25 VIAL in 1 CARTON (62332-599-25) / 1 mL...	15 mg/mL	25	$7.15	$0.946	● Active	CMS + PDAC
63323-0161-01	Ketorolac Tromethamine 15 mg/mL INJECTION, SOLUTION	Fresenius	25 VIAL, SINGLE-USE in 1 TRAY (63323-161-0...	15 mg/mL	25	$7.15	$0.946	● Active	CMS + PDAC
63323-0161-12	Ketorolac Tromethamine 15 mg/mL INJECTION, SOLUTION	Fresenius	25 VIAL, SINGLE-DOSE in 1 TRAY (63323-161-...	15 mg/mL	25	$7.15	$0.946	● Active	CMS ASP
63323-0161-16	Ketorolac Tromethamine 15 mg/mL INJECTION, SOLUTION	Fresenius	25 VIAL, SINGLE-USE in 1 TRAY (63323-161-1...	15 mg/mL	25	$7.15	$0.946	● Active	CMS ASP
65145-0146-25	KETOROLAC TROMETHAMINE 15 mg/mL INJECTION, SOLUTION	Caplin	25 VIAL, SINGLE-DOSE in 1 CARTON (65145-14...	15 mg/mL	25	$7.15	$0.946	● Active	CMS + PDAC
68462-0755-25	KETOROLAC TROMETHAMINE 15 mg/mL INJECTION, SOLUTION	GLENMARK	25 VIAL, SINGLE-DOSE in 1 CARTON (68462-75...	15 mg/mL	25	$7.15	$0.946	● Active	CMS + PDAC
70512-0842-25	Ketorolac Tromethamine 15 mg/mL INJECTION	SOLA	25 VIAL in 1 CARTON (70512-842-25) / 1 mL...	15 mg/mL	25	$7.15	$0.946	● Active	CMS + PDAC
72266-0234-25	ketorolac tromethamine 15 mg/mL INJECTION, SOLUTION	FOSUN	25 VIAL in 1 CARTON (72266-234-25) / 1 mL...	15 mg/mL	25	$7.15	$0.946	● Active	CMS + PDAC
72603-0153-25	KETOROLAC TROMETHAMINE 15 mg/mL INJECTION, SOLUTION	NorthStar	25 VIAL, SINGLE-DOSE in 1 CARTON (72603-15...	15 mg/mL	25	$7.15	$0.946	● Active	CMS + PDAC
31722-0305-25	KETOROLAC TROMETHAMINE 15 mg/mL INJECTION, SOLUTION	Camber	25 VIAL, SINGLE-DOSE in 1 CARTON (31722-30...	15 mg/mL	1	$0.29	$0.946	● Active	PDAC
00338-0072-25	KETOROLAC TROMETHAMINE 30 mg/mL INJECTION, SOLUTION	Baxter	25 VIAL in 1 CARTON (0338-0072-25) / 1 mL...	30 mg/mL	50	$14.30	$1.045	● Active	CMS + PDAC
00409-3795-01	Ketorolac Tromethamine 30 mg/mL INJECTION, SOLUTION	Hospira,	25 VIAL, SINGLE-DOSE in 1 TRAY (0409-3795-...	30 mg/mL	50	$14.30	$1.045	Obsolete	CMS + PDAC
00409-3795-25	Ketorolac Tromethamine 30 mg/mL INJECTION, SOLUTION	Hospira,	25 VIAL, SINGLE-DOSE in 1 CARTON (0409-379...	30 mg/mL	50	$14.30	$1.045	● Active	CMS + PDAC
25021-0701-01	Ketorolac Tromethamine 30 mg/mL INJECTION, SOLUTION	Sagent	25 VIAL in 1 CARTON (25021-701-01) / 1 mL...	30 mg/mL	50	$14.30	$1.045	● Active	CMS + PDAC
62332-0600-25	Ketorolac Tromethamine 30 mg/mL INJECTION	Alembic	25 VIAL in 1 CARTON (62332-600-25) / 1 mL...	30 mg/mL	50	$14.30	$1.045	● Active	CMS + PDAC
63323-0162-01	Ketorolac Tromethamine 30 mg/mL INJECTION, SOLUTION	Fresenius	25 VIAL, SINGLE-USE in 1 TRAY (63323-162-0...	30 mg/mL	50	$14.30	$1.045	● Active	CMS + PDAC
63323-0162-12	Ketorolac Tromethamine 30 mg/mL INJECTION, SOLUTION	Fresenius	25 VIAL, SINGLE-DOSE in 1 TRAY (63323-162-...	30 mg/mL	50	$14.30	$1.045	● Active	CMS ASP
63323-0162-16	Ketorolac Tromethamine 30 mg/mL INJECTION, SOLUTION	Fresenius	25 VIAL, SINGLE-USE in 1 TRAY (63323-162-1...	30 mg/mL	50	$14.30	$1.045	● Active	CMS ASP
65145-0145-25	KETOROLAC TROMETHAMINE 30 mg/mL INJECTION, SOLUTION	Caplin	25 VIAL, SINGLE-DOSE in 1 CARTON (65145-14...	30 mg/mL	50	$14.30	$1.045	● Active	CMS + PDAC
68462-0756-25	KETOROLAC TROMETHAMINE 30 mg/mL INJECTION, SOLUTION	GLENMARK	25 VIAL, SINGLE-DOSE in 1 CARTON (68462-75...	30 mg/mL	50	$14.30	$1.045	● Active	CMS + PDAC
70512-0843-25	Ketorolac Tromethamine 30 mg/mL INJECTION	SOLA	25 VIAL in 1 CARTON (70512-843-25) / 1 mL...	30 mg/mL	50	$14.30	$1.045	● Active	CMS + PDAC
72266-0118-25	ketorolac tromethamine 30 mg/mL INJECTION, SOLUTION	FOSUN	25 VIAL in 1 CARTON (72266-118-25) / 1 mL...	30 mg/mL	50	$14.30	$1.045	● Active	CMS + PDAC
72572-0355-25	Ketorolac Tromethamine 30 mg/mL INJECTION, SOLUTION	Civica,	25 VIAL, SINGLE-DOSE in 1 CARTON (72572-35...	30 mg/mL	50	$14.30	$1.045	● Active	CMS + PDAC
31722-0306-25	KETOROLAC TROMETHAMINE 30 mg/mL INJECTION, SOLUTION	Camber	25 VIAL, SINGLE-DOSE in 1 CARTON (31722-30...	30 mg/mL	2	$0.57	$1.045	● Active	PDAC
00338-0069-10	KETOROLAC TROMETHAMINE 15 mg/mL INJECTION, SOLUTION	Baxter	10 VIAL in 1 CARTON (0338-0069-10) / 1 mL...	15 mg/mL	10	$2.86	—	● Active	CMS + PDAC
00404-9952-01	Ketorolac Tromethamine	Henry	—	—	1	$0.29	—	—	CMS ASP
00404-9996-01	Ketorolac tromethamine 30 mg/mL INJECTION, SOLUTION	Henry	1 VIAL in 1 BAG (0404-9996-01) / 1 mL in...	30 mg/mL	2	$0.57	—	● Active	CMS ASP
00404-9997-02	Ketorolac tromethamine 30 mg/mL INJECTION, SOLUTION	Henry	1 VIAL in 1 BAG (0404-9997-02) / 2 mL in...	30 mg/mL	4	$1.14	—	● Active	CMS ASP
00404-9998-01	Ketorolac Tromethamine 15 mg/mL INJECTION, SOLUTION	Henry	1 VIAL in 1 BAG (0404-9998-01) / 1 mL in...	15 mg/mL	1	$0.29	—	● Active	CMS ASP
00487-6232-01	Ketorolac Tromethamine 30 mg/mL INJECTION	Nephron	30 VIAL in 1 CARTON (0487-6232-01) / 2 mL...	30 mg/mL	120	$34.32	—	● Active	CMS ASP
50090-1328-01	Ketorolac Tromethamine	A-S	—	—	4	$1.14	—	—	CMS ASP
50090-3364-00	Ketorolac Tromethamine	A-S	—	—	50	$14.30	—	—	CMS ASP
50090-3364-01	Ketorolac Tromethamine	A-S	—	—	50	$14.30	—	—	CMS ASP
50090-3397-01	Ketorolac Tromethamine	A-S	—	—	100	$28.60	—	—	CMS ASP
50090-4583-00	Ketorolac Tromethamine	A-S	—	—	100	$28.60	—	—	CMS ASP
50090-4635-00	Ketorolac Tromethamine	A-S	—	—	100	$28.60	—	—	CMS ASP
50090-4635-01	Ketorolac Tromethamine	A-S	—	—	4	$1.14	—	—	CMS ASP
50090-5013-00	Ketorolac Tromethamine	A-S	—	—	50	$14.30	—	—	CMS ASP
50090-5013-01	Ketorolac Tromethamine	A-S	—	—	2	$0.57	—	—	CMS ASP
50090-5428-00	Ketorolac tromethamine 30 mg/mL INJECTION, SOLUTION	A-S	25 VIAL in 1 CARTON (50090-5428-0) / 1 mL...	30 mg/mL	50	$14.30	—	● Active	CMS ASP
50090-5428-01	Ketorolac tromethamine 30 mg/mL INJECTION, SOLUTION	A-S	1 mL in 1 VIAL (50090-5428-1)	30 mg/mL	2	$0.57	—	● Active	CMS ASP
50090-5609-00	Ketorolac Tromethamine 15 mg/mL INJECTION, SOLUTION	A-S	25 VIAL, SINGLE-DOSE in 1 CARTON (50090-56...	15 mg/mL	25	$7.15	—	● Active	CMS ASP
50090-6772-00	Ketorolac Tromethamine 60 mg/2mL INJECTION	A-S	25 VIAL in 1 CARTON (50090-6772-0) / 2 mL...	60 mg/2mL	100	$28.60	—	● Active	CMS ASP
50090-6772-01	Ketorolac Tromethamine 60 mg/2mL INJECTION	A-S	1 VIAL in 1 CARTON (50090-6772-1) / 2 mL...	60 mg/2mL	4	$1.14	—	● Active	CMS ASP
50090-6807-00	Ketorolac Tromethamine 15 mg/mL INJECTION	A-S	25 VIAL in 1 CARTON (50090-6807-0) / 1 mL...	15 mg/mL	25	$7.15	—	● Active	CMS ASP
51662-1292-01	KETOROLAC TROMETHAMINE 30 mg/mL INJECTION, SOLUTION	HF	1 mL in 1 VIAL, SINGLE-DOSE (51662-1292-1)	30 mg/mL	2	$0.57	—	● Active	CMS ASP
51662-1292-03	KETOROLAC TROMETHAMINE 30 mg/mL INJECTION, SOLUTION	HF	25 POUCH in 1 CASE (51662-1292-3) / 1 mL...	30 mg/mL	50	$14.30	—	● Active	CMS ASP
51662-1295-01	KETOROLAC TROMETHAMINE 60 mg/2mL INJECTION, SOLUTION	HF	2 mL in 1 VIAL, SINGLE-DOSE (51662-1295-1)	60 mg/2mL	4	$1.14	—	● Active	CMS ASP
51662-1295-03	KETOROLAC TROMETHAMINE 60 mg/2mL INJECTION, SOLUTION	HF	25 POUCH in 1 CASE (51662-1295-3) / 1 mL...	60 mg/2mL	100	$28.60	—	● Active	CMS ASP
51662-1594-03	KETOROLAC TROMETHAMINE 30 mg/mL INJECTION, SOLUTION	HF	25 POUCH in 1 CASE (51662-1594-3) / 1 VIA...	30 mg/mL	50	$14.30	—	● Active	CMS ASP
70860-0700-02	Ketorolac Tromethamine	Athenex	—	—	25	$7.15	—	—	CMS + PDAC
70860-0701-03	Ketorolac Tromethamine	Athenex	—	—	50	$14.30	—	—	CMS + PDAC
70860-0701-04	Ketorolac Tromethamine	Athenex	—	—	100	$28.60	—	—	CMS + PDAC
72572-0354-10	Ketorolac Tromethamine 15 mg/mL INJECTION, SOLUTION	Civica,	10 VIAL, SINGLE-DOSE in 1 CARTON (72572-35...	15 mg/mL	10	$2.86	—	● Active	CMS + PDAC
72611-0719-25	Ketorolac Tromethamine	Almaject,	—	—	25	$7.15	—	—	CMS + PDAC
76045-0104-10	Ketorolac Tromethamine 30 mg/mL INJECTION, SOLUTION	Fresenius	24 BLISTER PACK in 1 CARTON (76045-104-10)...	30 mg/mL	48	$13.73	—	● Active	CMS ASP
76045-0105-20	Ketorolac Tromethamine 60 mg/2mL INJECTION, SOLUTION	Fresenius	24 BLISTER PACK in 1 CARTON (76045-105-20)...	60 mg/2mL	96	$27.46	—	● Active	CMS ASP
76045-0209-10	Ketorolac Tromethamine 30 mg/mL INJECTION, SOLUTION	Fresenius	24 BLISTER PACK in 1 CARTON (76045-209-10)...	30 mg/mL	48	$13.73	—	● Active	CMS + PDAC
31722-0305-10	KETOROLAC TROMETHAMINE 15 mg/mL INJECTION, SOLUTION	Camber	10 VIAL, SINGLE-DOSE in 1 CARTON (31722-30...	15 mg/mL	1	$0.29	—	● Active	PDAC
70512-0842-01	KETOROLAC TROMETHAMINE (SDV) 15 MG/1 ML	Unknown	—	—	1	$0.29	—	—	PDAC
70512-0843-01	KETOROLAC TROMETHAMINE 30 MG/1 ML	Unknown	—	—	2	$0.57	—	—	PDAC
72572-0354-01	KETOROLAC TROMETHAMINE (SDV) 15 MG/1 ML	Unknown	—	—	1	$0.29	—	—	PDAC
72572-0355-01	KETOROLAC TROMETHAMINE (SDV) 30 MG/1 ML	Unknown	—	—	2	$0.57	—	—	PDAC
00409-3795-19	KETOROLAC TROMETHAMINE (INNER PACK,LATEX-FREE) 30 MG/1 ML	Unknown	—	—	2	$0.57	—	—	PDAC
72611-0725-25	KETOROLAC TROMETHAMINE (SDV,25X2ML,PF) 30 MG/1 ML	Unknown	—	—	2	$0.57	—	—	PDAC
72611-0722-25	KETOROLAC TROMETHAMINE (SDV,25X1ML,PF) 30 MG/1 ML	Unknown	—	—	2	$0.57	—	—	PDAC
47781-0585-68	KETOROLAC TROMETHAMINE (USP,25X2ML,SDV) 30 MG/1 ML	Unknown	—	—	2	$0.57	—	—	PDAC
69543-0386-25	KETOROLAC TROMETHAMINE 30 MG/1 ML	Unknown	—	—	2	$0.57	—	—	PDAC
47781-0584-68	KETOROLAC TROMETHAMINE (SDV,25X1ML,PF) 30 MG/1 ML	Unknown	—	—	2	$0.57	—	—	PDAC
47781-0583-68	KETOROLAC TROMETHAMINE (SDV,25X1ML,PF) 15 MG/1 ML	Unknown	—	—	1	$0.29	—	—	PDAC
70860-0700-01	KETOROLAC TROMETHAMINE (PF,LATEX-FREE) 15 MG/1 ML	Unknown	—	—	1	$0.29	—	—	PDAC
70860-0701-02	KETOROLAC TROMETHAMINE (PF,LATEX-FREE) 30 MG/1 ML	Unknown	—	—	2	$0.57	—	—	PDAC
70860-0701-01	KETOROLAC TROMETHAMINE (PF,LATEX-FREE) 30 MG/1 ML	Unknown	—	—	2	$0.57	—	—	PDAC
00548-9021-00	KETOROLAC TROMETHAMINE 30 MG/1 ML	Unknown	—	—	2	$0.57	—	—	PDAC
49452-3919-05	KETOROLAC TROMETHAMINE (U.S.P.)	Unknown	—	—	66.667	$19.07	—	—	PDAC
00409-2287-61	KETOROLAC TROMETHAMINE ((LUER LOCK),10X2ML) 30 MG/ML	Unknown	—	—	2	$0.57	—	—	PDAC
00409-2287-31	KETOROLAC TROMETHAMINE (LUER LOCK,CARPUJECT) 30 MG/ML	Unknown	—	—	2	$0.57	—	—	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

$302.9K

Claims

440,857

Beneficiaries

388,337

Spend / beneficiary

$0.78

Spend / claim

$0.69

Trend by period

Where J1885 ranks among Part B drugs · 2026 (Q1) · neighbors ±5

Total spending — #491 of 824

#486 SHELTER DM MATRIX PE... Q4346 $318.9K #487 VISUDYNE J3396 $317.8K #488 AMBISOME* J0289 $311.8K #489 GRANIX J1447 $308.7K #490 DEPO-TESTOSTERONE* J1071 $304.4K #491 KETOROLAC TROMETHAMI... J1885 $302.9K #492 SUBLOCADE(Q9991) Q9991 $297.3K #493 EMEND* J1453 $297.3K #494 XWRAP 1 SQ CM** Q4204 $288K #495 PACLITAXEL J9267 $286.3K #496 EDETATE CALCIUM DISO... J0600 $284.6K

Total claims — #3 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)

Period	Total spend	Beneficiaries	Claims	$/beneficiary	$/claim
2026 (Q1)	$302.9K	388,337	440,857	$0.78	$0.69
2025 (Q1-Q4)	$3.43M	1,436,175	1,872,101	$2.39	$1.83

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

$703.1K

Medicare paid

$485.5K

Submitted services

1,731,093

Denial rate

11.9%

Allowed / service

$0.46

Submitted charges

$22.66M

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 J1885 is utilized CMS · BY PROVIDER · 2024

Medicare Part B services for this code by the rendering provider's state — 930,781 services across 54 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 J1885

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

KETOROLAC TROMETHAMINE 17

ketorolac tromethamine 15

Ketorolac Tromethamine 8

NDC products by labeler

Fresenius Kabi USA, LLC 7

Hospira, Inc. 6

Camber Pharmaceuticals, Inc. 3

Alembic Pharmaceuticals Inc. 3

Caplin Steriles Limited 3

GLENMARK PHARMACEUTICALS INC., USA 3

SOLA Pharmaceuticals, LLC 3

FOSUN PHARMA USA INC 3

🗃️ 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)

94 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.

❓ J1885 billing FAQ

What is HCPCS code J1885?

J1885 is a HCPCS Level II J-code used to bill Injection, ketorolac tromethamine, per 15 mg under Medicare Part B and most medical (not pharmacy) benefits.

What is the billing unit for J1885?

One unit of J1885 represents 15 MG. Report the number of units equal to the dose administered divided by 15 MG.

How many units of J1885 should I bill?

Divide the dose administered by the code's unit size (15 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 J1885?

The Medicare Part B payment limit is $0.286 per unit (Q3 2026), based on ASP + 6%. After the 2% sequester the effective payment is about $0.280 per unit. Payment limits are revised quarterly.

Which NDCs bill under J1885?

94 NDCs currently map to J1885 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 J1885 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.