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J1953

J1953 – Injection, levetiracetam, 10 mg · NDC Crosswalk & Billing Units

HCPCS Level II J-code · Medicare Part B drug billing
J-code ● 70 NDCs crosswalked per 10 MG $0.032/unit ASP+6%

📋 J1953 summary

J1953 is a HCPCS Level II J-code used to bill levetiracetam, 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 J1953: Keppra*, Levetiracetam In Sodium Chloride, Levetiracetam

Code J1953 Billing unit 10 MG Payment limit $0.032/unit NDC-Crosswalk 70 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 codeJ1953
DescriptorInjection, levetiracetam, 10 mg
Billing unit10 MG
Payment limit / unit$0.032
Est. ASP / unit$0.030 est.
Mapped NDCs70
Data periodQ3 2026
Last updated2026-08-20

💊 About Levetiracetam Injection DRUG GUIDE

Levetiracetam Injection is used to treat three types of seizures.

It treats partial-onset seizures (seizures that start in one area of the brain) in patients 1 month of age and older.

It is also used alongside other seizure medicines to treat myoclonic seizures (sudden, brief muscle jerks) in patients 12 years and older with juvenile myoclonic epilepsy, and to treat primary generalized tonic-clonic seizures (grand mal seizures) in patients 6 years and older with idiopathic generalized epilepsy.Levetiracetam Injection is for intravenous (IV) use only and is intended as a temporary alternative when a patient cannot take oral levetiracetam.

Read the full Levetiracetam Injection drug guide →
Clinical overview from our editorial drug guide for Levetiracetam Injection. 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
$0.032
Est. ASP / unit
$0.030 est.
Est. after 2% sequester
$0.031
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, levetiracetam, 10 mg
CoverageC — Carrier/MAC judgment
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 date2009-01-01
Date added2009-01-01
Source: CMS HCPCS Level II code file (imported via admin).

🧮 Dosing & billing-units calculator HCPCS UNITS

One billing unit of J1953 = 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 J1953 WITH EST. MEDICARE PAY

70 NDCs map to J1953. Bill units = how many HCPCS units one package represents. Est. pay / pkg = payment limit ($0.032/unit) × that package's bill units.
NDC (11-digit)DrugLabelerPackageStrength Bill units Est. pay / pkg NADAC / unit StatusSource
00143-9281-10 Levetiracetam in Sodium Chloride 5 mg/mL INJECTION Hikma 10 BAG in 1 BOX (0143-9281-10) / 100 mL i... 5 mg/mL 500 $16.00 ● Active CMS + PDAC
00143-9282-10 Levetiracetam in Sodium Chloride 10 mg/mL INJECTION Hikma 10 BAG in 1 BOX (0143-9282-10) / 100 mL i... 10 mg/mL 1,000 $32.00 ● Active CMS + PDAC
00143-9283-10 Levetiracetam in Sodium Chloride 15 mg/mL INJECTION Hikma 10 BAG in 1 BOX (0143-9283-10) / 100 mL i... 15 mg/mL 1,500 $48.00 ● Active CMS + PDAC
00143-9574-25 Levetiracetam 100 mg/mL INJECTION Hikma 25 VIAL, SINGLE-DOSE in 1 CARTON (0143-957... 100 mg/mL 1,250 $40.00 ● Active CMS ASP
00143-9673-25 Levetiracetam 100 mg/mL INJECTION Hikma 25 VIAL, GLASS in 1 CARTON (0143-9673-25)... 100 mg/mL 1,250 $40.00 ● Active CMS + PDAC
00264-1009-90 Levetiracetam 10 mg/mL INJECTION B. 24 CONTAINER in 1 CASE (0264-1009-90) / 1... 10 mg/mL 2,400 $76.80 ● Active CMS + PDAC
00264-1509-90 Levetiracetam 15 mg/mL INJECTION B. 24 CONTAINER in 1 CASE (0264-1509-90) / 1... 15 mg/mL 3,600 $115.20 ● Active CMS + PDAC
00264-5009-90 Levetiracetam 5 mg/mL INJECTION B. 24 CONTAINER in 1 CASE (0264-5009-90) / 1... 5 mg/mL 1,200 $38.40 ● Active CMS ASP
00409-1886-02 LEVETIRACETAM 100 mg/mL INJECTION, SOLUTION Hospira, 25 VIAL, SINGLE-DOSE in 1 CARTON (0409-188... 100 mg/mL 1,250 $40.00 ● Active CMS ASP
00409-2011-25 LEVETIRACETAM 100 mg/mL INJECTION, SOLUTION Hospira, 25 VIAL, SINGLE-DOSE in 1 CARTON (0409-201... 100 mg/mL 1,250 $40.00 ● Active CMS + PDAC
14789-0110-05 Levetiracetam in Sodium Chloride 5 mg/mL INJECTION Nexus 10 BAG in 1 CARTON (14789-110-05) / 100 m... 5 mg/mL 500 $16.00 ● Active CMS + PDAC
14789-0220-10 Levetiracetam in Sodium Chloride 10 mg/mL INJECTION Nexus 10 BAG in 1 CARTON (14789-220-10) / 100 m... 10 mg/mL 1,000 $32.00 ● Active CMS + PDAC
14789-0330-15 Levetiracetam in Sodium Chloride 15 mg/mL INJECTION Nexus 10 BAG in 1 CARTON (14789-330-15) / 100 m... 15 mg/mL 1,500 $48.00 ● Active CMS + PDAC
25021-0780-05 Levetiracetam 500 mg/5mL INJECTION, SOLUTION, CONCENTRATE Sagent 10 VIAL in 1 CARTON (25021-780-05) / 5 mL... 500 mg/5mL 500 $16.00 Obsolete CMS ASP
25021-0793-82 levetiracetam 5 mg/mL INJECTION, SOLUTION Sagent 10 BAG in 1 CARTON (25021-793-82) / 100 m... 5 mg/mL 500 $16.00 ● Active CMS + PDAC
25021-0794-82 levetiracetam 10 mg/mL INJECTION, SOLUTION Sagent 10 BAG in 1 CARTON (25021-794-82) / 100 m... 10 mg/mL 1,000 $32.00 ● Active CMS + PDAC
25021-0795-82 levetiracetam 15 mg/mL INJECTION, SOLUTION Sagent 10 BAG in 1 CARTON (25021-795-82) / 100 m... 15 mg/mL 1,500 $48.00 ● Active CMS + PDAC
36000-0352-40 levetiracetam 5 mg/mL INJECTION Baxter 24 BAG in 1 CARTON (36000-352-40) / 100 m... 5 mg/mL 1,200 $38.40 ● Active CMS + PDAC
36000-0354-40 levetiracetam 15 mg/mL INJECTION Baxter 24 BAG in 1 CARTON (36000-354-40) / 100 m... 15 mg/mL 3,600 $115.20 ● Active CMS + PDAC
36000-0356-40 levetiracetam 10 mg/mL INJECTION Baxter 24 BAG in 1 CARTON (36000-356-40) / 100 m... 10 mg/mL 2,400 $76.80 ● Active CMS + PDAC
43598-0635-10 Levetiracetam 5 mg/mL INJECTION Dr.Reddy's 10 BAG in 1 CARTON (43598-635-10) / 100 m... 5 mg/mL 500 $16.00 ● Active CMS + PDAC
43598-0636-10 Levetiracetam 10 mg/mL INJECTION Dr.Reddy's 10 BAG in 1 CARTON (43598-636-10) / 100 m... 10 mg/mL 1,000 $32.00 ● Active CMS + PDAC
43598-0637-10 Levetiracetam 15 mg/mL INJECTION Dr.Reddy's 10 BAG in 1 CARTON (43598-637-10) / 100 m... 15 mg/mL 1,500 $48.00 ● Active CMS + PDAC
43598-0755-10 Levetiracetam 5 mg/mL INJECTION Dr.Reddy's 10 BAG in 1 CARTON (43598-755-10) / 100 m... 5 mg/mL 500 $16.00 ● Active CMS + PDAC
43598-0757-10 Levetiracetam 10 mg/mL INJECTION Dr.Reddy's 10 BAG in 1 CARTON (43598-757-10) / 100 m... 10 mg/mL 1,000 $32.00 ● Active CMS + PDAC
43598-0759-10 Levetiracetam 15 mg/mL INJECTION Dr.Reddy's 10 BAG in 1 CARTON (43598-759-10) / 100 m... 15 mg/mL 1,500 $48.00 ● Active CMS + PDAC
44567-0500-10 Levetiracetam WG 250 $8.00 CMS + PDAC
44567-0501-10 Levetiracetam 5 mg/mL INJECTION WG 10 BAG in 1 CARTON (44567-501-10) / 100 m... 5 mg/mL 500 $16.00 ● Active CMS + PDAC
44567-0501-90 Levetiracetam 5 mg/mL INJECTION WG 10 BAG in 1 CARTON (44567-501-90) / 100 m... 5 mg/mL 500 $16.00 ● Active CMS + PDAC
44567-0502-10 Levetiracetam 10 mg/mL INJECTION WG 10 BAG in 1 CARTON (44567-502-10) / 100 m... 10 mg/mL 1,000 $32.00 ● Active CMS + PDAC
44567-0503-10 Levetiracetam 15 mg/mL INJECTION WG 10 BAG in 1 CARTON (44567-503-10) / 100 m... 15 mg/mL 1,500 $48.00 ● Active CMS + PDAC
50474-0002-63 Keppra levetiracetam 100 mg/mL INJECTION, SOLUTION, CONCENTRATE UCB, 10 VIAL, SINGLE-USE in 1 CARTON (50474-002... 100 mg/mL 500 $16.00 ● Active CMS ASP
55150-0177-05 Levetiracetam 500 mg/5mL INJECTION, SOLUTION Eugia 10 VIAL, SINGLE-DOSE in 1 CARTON (55150-17... 500 mg/5mL 500 $16.00 ● Active CMS + PDAC
55150-0246-47 Levetiracetam 500 mg/100mL INJECTION, SOLUTION Eugia 10 POUCH in 1 CARTON (55150-246-47) / 1 B... 500 mg/100mL 500 $16.00 ● Active CMS + PDAC
55150-0247-47 Levetiracetam 1000 mg/100mL INJECTION, SOLUTION Eugia 10 POUCH in 1 CARTON (55150-247-47) / 1 B... 1000 mg/100mL 1,000 $32.00 ● Active CMS + PDAC
55150-0248-47 Levetiracetam 1500 mg/100mL INJECTION, SOLUTION Eugia 10 POUCH in 1 CARTON (55150-248-47) / 1 B... 1500 mg/100mL 1,500 $48.00 ● Active CMS + PDAC
63323-0400-05 Levetiracetam 100 mg/mL INJECTION, SOLUTION Fresenius 10 VIAL, SINGLE-USE in 1 TRAY (63323-400-0... 100 mg/mL 500 $16.00 ● Active CMS + PDAC
63323-0400-44 Levetiracetam 100 mg/mL INJECTION, SOLUTION Fresenius 10 VIAL, SINGLE-USE in 1 TRAY (63323-400-4... 100 mg/mL 500 $16.00 ● Active CMS + PDAC
65145-0173-10 Levetiracetam 500 mg/100mL INJECTION Caplin 10 POUCH in 1 CASE (65145-173-10) / 1 BAG... 500 mg/100mL 500 $16.00 ● Active CMS + PDAC
65145-0174-10 Levetiracetam 1000 mg/100mL INJECTION Caplin 10 POUCH in 1 CASE (65145-174-10) / 1 BAG... 1000 mg/100mL 1,000 $32.00 ● Active CMS + PDAC
65145-0175-10 Levetiracetam 1500 mg/100mL INJECTION Caplin 10 POUCH in 1 CASE (65145-175-10) / 1 BAG... 1500 mg/100mL 1,500 $48.00 ● Active CMS + PDAC
65219-0042-71 Levetiracetam 5 mg/mL INJECTION Fresenius 24 BAG in 1 CARTON (65219-042-71) / 100 m... 5 mg/mL 1,200 $38.40 ● Active CMS + PDAC
65219-0044-71 Levetiracetam 10 mg/mL INJECTION Fresenius 24 BAG in 1 CARTON (65219-044-71) / 100 m... 10 mg/mL 2,400 $76.80 ● Active CMS + PDAC
65219-0046-71 Levetiracetam 15 mg/mL INJECTION Fresenius 10 BAG in 1 CARTON (65219-046-71) / 100 m... 15 mg/mL 3,600 $115.20 ● Active CMS + PDAC
67457-0255-10 Levetiracetam 5 mg/mL INJECTION Mylan 10 BAG in 1 CARTON (67457-255-10) / 100 m... 5 mg/mL 500 $16.00 ● Active CMS ASP
67457-0265-10 Levetiracetam 10 mg/mL INJECTION Mylan 10 BAG in 1 CARTON (67457-265-10) / 100 m... 10 mg/mL 1,000 $32.00 ● Active CMS ASP
67457-0266-10 Levetiracetam 15 mg/mL INJECTION Mylan 10 BAG in 1 CARTON (67457-266-10) / 100 m... 15 mg/mL 1,500 $48.00 ● Active CMS ASP
67457-0790-05 levetiracetam 100 mg/mL INJECTION, SOLUTION, CONCENTRATE Mylan 10 VIAL, SINGLE-DOSE in 1 CARTON (67457-79... 100 mg/mL 500 $16.00 ● Active CMS + PDAC
70860-0602-82 Levetiracetam Athenex 500 $16.00 CMS + PDAC
70860-0603-82 Levetiracetam Athenex 1,000 $32.00 CMS + PDAC
70860-0604-82 Levetiracetam Athenex 1,500 $48.00 CMS + PDAC
72205-0120-07 Levetiracetam 500 mg/5mL INJECTION, SOLUTION, CONCENTRATE Novadoz 10 VIAL in 1 CARTON (72205-120-07) / 5 mL... 500 mg/5mL 500 $16.00 ● Active CMS + PDAC
72205-0120-25 Levetiracetam 500 mg/5mL INJECTION, SOLUTION, CONCENTRATE Novadoz 25 VIAL in 1 CARTON (72205-120-25) / 5 mL... 500 mg/5mL 1,250 $40.00 ● Active CMS + PDAC
72485-0106-10 LEVETIRACETAM 100 mg/mL INJECTION Armas 10 VIAL, SINGLE-DOSE in 1 CARTON (72485-10... 100 mg/mL 500 $16.00 ● Active CMS + PDAC
72485-0106-25 LEVETIRACETAM 100 mg/mL INJECTION Armas 25 VIAL, SINGLE-DOSE in 1 CARTON (72485-10... 100 mg/mL 1,250 $40.00 ● Active CMS + PDAC
72572-0360-25 Levetiracetam 100 mg/mL INJECTION Civica, 25 VIAL in 1 CARTON (72572-360-25) / 5 mL... 100 mg/mL 1,250 $40.00 ● Active CMS + PDAC
70069-0847-10 Levetiracetam 1500 mg/100mL INJECTION Somerset 10 POUCH in 1 CASE (70069-847-10) / 1 BAG... 1500 mg/100mL 1.5 $0.05 ● Active PDAC
70069-0846-10 Levetiracetam 1000 mg/100mL INJECTION Somerset 10 POUCH in 1 CASE (70069-846-10) / 1 BAG... 1000 mg/100mL 1 $0.03 ● Active PDAC
70069-0845-10 Levetiracetam 500 mg/100mL INJECTION Somerset 10 POUCH in 1 CASE (70069-845-10) / 1 BAG... 500 mg/100mL 0.5 $0.02 ● Active PDAC
00264-9009-90 LEVETIRACETAM-SODIUM CHLORIDE (LATEX-FREE) 500 MG/100 ML-0.82% Unknown 0.5 $0.02 PDAC
68094-0313-25 Levetiracetam 100 mg/mL INJECTION, SOLUTION, CONCENTRATE Precision 25 VIAL, SINGLE-USE in 1 CARTON (68094-313... 100 mg/mL 10 $0.32 ● Active PDAC
68094-0313-10 Levetiracetam 100 mg/mL INJECTION, SOLUTION, CONCENTRATE Precision 10 VIAL, SINGLE-USE in 1 CARTON (68094-313... 100 mg/mL 10 $0.32 ● Active PDAC
72572-0360-01 LEVETIRACETAM (SDV) 100 MG/1 ML Unknown 10 $0.32 PDAC
43547-0454-10 LEVETIRACETAM 500 mg/5mL INJECTION Solco 10 VIAL, SINGLE-DOSE in 1 CARTON (43547-45... 500 mg/5mL 10 $0.32 ● Active PDAC
43598-0636-52 LEVETIRACETAM (1X100ML, INNER PACK) 10 MG/1 ML Unknown 1 $0.03 PDAC
43598-0635-52 LEVETIRACETAM (1X100ML, INNER PACK) 5 MG/1 ML Unknown 0.5 $0.02 PDAC
43598-0637-52 LEVETIRACETAM (1X100ML, INNER PACK) 15 MG/1 ML Unknown 1.5 $0.05 PDAC
51224-0013-25 Levetiracetam 100 mg/mL INJECTION, SOLUTION, CONCENTRATE TAGI 25 VIAL, SINGLE-USE in 1 CARTON (51224-013... 100 mg/mL 10 $0.32 Obsolete PDAC
51224-0013-10 Levetiracetam 100 mg/mL INJECTION, SOLUTION, CONCENTRATE TAGI 10 VIAL, SINGLE-USE in 1 CARTON (51224-013... 100 mg/mL 10 $0.32 Obsolete PDAC
00409-1886-05 PREMIERPRO RX LEVETIRACETAM (SDV) 100 MG/1 ML Unknown 10 $0.32 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
$517.51
Claims
75
Beneficiaries
37
Spend / beneficiary
$13.99
Spend / claim
$6.90
Trend by period
Where J1953 ranks among Part B drugs · 2026 (Q1) · neighbors ±5

Full breakdown by period (2)
PeriodTotal spendBeneficiariesClaims$/beneficiary$/claim
2026 (Q1) $517.51 37 75 $13.99 $6.90
2025 (Q1-Q4) $1.8K 115 329 $15.83 $5.53
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
$183.43
Medicare paid
$131.07
Submitted services
368,043
Denial rate
99.0%
Allowed / service
$0.05
Submitted charges
$377.9K
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 J1953 is utilized CMS · BY PROVIDER · 2024

Medicare Part B services for this code by the rendering provider's state — 264 services across 1 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 J1953

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
levetiracetam 16
Levetiracetam 14
Levetiracetam in Sodium Chloride 9
Levetiracetam Injection 6
LEVETIRACETAM 4
Levetiracetam in sodium chloride 3
NDC products by labeler
Fresenius Kabi USA, LLC 8
Dr.Reddy's Laboratories Inc 6
WG Critical Care, LLC 5
Hikma Pharmaceuticals USA Inc. 4
Eugia US LLC 4
Nexus Pharmaceuticals LLC 3
Sagent Pharmaceuticals 3
Baxter Healthcare Corporation 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)
70 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.

J1953 billing FAQ

What is HCPCS code J1953?
J1953 is a HCPCS Level II J-code used to bill Injection, levetiracetam, 10 mg under Medicare Part B and most medical (not pharmacy) benefits.
What is the billing unit for J1953?
One unit of J1953 represents 10 MG. Report the number of units equal to the dose administered divided by 10 MG.
How many units of J1953 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 J1953?
The Medicare Part B payment limit is $0.032 per unit (Q3 2026), based on ASP + 6%. After the 2% sequester the effective payment is about $0.031 per unit. Payment limits are revised quarterly.
Which NDCs bill under J1953?
70 NDCs currently map to J1953 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 J1953 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.