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J2373

J2373 – Inj, immphentiv, 20 mcg · NDC Crosswalk & Billing Units

HCPCS Level II J-code · Medicare Part B drug billing
J-code ● 2 NDCs crosswalked per 20 MCG $0.124/unit ASP+6%

This page is curated, coded, and maintained by

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

📋 J2373 summary

J2373 is a HCPCS Level II J-code used to bill immphentiv, 20 mcg, billed per 20 MCG. 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 J2373: Immphentiv

Code J2373 Billing unit 20 MCG Payment limit $0.124/unit NDC-Crosswalk 2 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 codeJ2373
DescriptorInj, immphentiv, 20 mcg
Billing unit20 MCG
Payment limit / unit$0.124
Est. ASP / unit$0.117 est.
Mapped NDCs2
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
$0.124
Est. ASP / unit
$0.117 est.
Est. after 2% sequester
$0.122
HCPCS dosage
20 MCG
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.

🧮 Dosing & billing-units calculator HCPCS UNITS

One billing unit of J2373 = 20 mcg. 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 J2373 WITH EST. MEDICARE PAY

2 NDCs map to J2373. Bill units = how many HCPCS units one package represents. Est. pay / pkg = payment limit ($0.124/unit) × that package's bill units.
NDC (11-digit)DrugLabelerPackageStrength Bill units Est. pay / pkg NADAC / unit StatusSource
00641-6245-10 IMMPHENTIV Phenylephrine Hydrochloride 100 ug/mL INJECTION Hikma 10 VIAL in 1 CARTON (0641-6245-10) / 5 mL... 100 ug/mL 250 $31.00 — ● Active CMS + PDAC
00641-6246-10 IMMPHENTIV Phenylephrine Hydrochloride 100 ug/mL INJECTABLE, LIPOSOMAL Hikma 10 VIAL in 1 CARTON (0641-6246-10) / 10 m... 100 ug/mL 500 $62.00 — ● Active CMS + 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 · 2025 (Q1-Q4)

Total Part B spend
$9K
Claims
1,796
Beneficiaries
1,766
Spend / beneficiary
$5.10
Spend / claim
$5.02
Where J2373 ranks among Part B drugs · 2025 (Q1-Q4) · neighbors ±5
Total spending — #809 of 918
#804 AMPHADASE J3470 $9.8K #805 HYPERRHO* J2790 $9.6K #806 COMBOGESIC IV J0138 $9.4K #807 MANNITOL(J2150) J2150 $9.3K #808 INTEGRA MATRIX** Q4108 $9.2K #809 IMMPHENTIV J2373 $9K #810 CEFAZOLIN SODIUM(J06... J0687 $9K #811 DOXY 100* J1271 $8.6K #812 RECARBRIO J0742 $8.5K #813 VARUBI J8670 $8.5K #814 LEVOFLOXACIN-D5W J1956 $8.2K
Total claims — #495 of 918
#490 NEBUPENT(J2545)* J2545 1,957 #491 BRIUMVI J2329 1,945 #492 MOZOBIL* J2562 1,929 #493 ADVATE* J7192 1,897 #494 DIAZEPAM J3360 1,862 #495 IMMPHENTIV J2373 1,796 #496 RELESE, PER SQ CM** Q4257 1,793 #497 ADSTILADRIN J9029 1,783 #498 CLADRIBINE J9065 1,779 #499 BOMYNTRA* Q5158 1,756 #500 PROVOCHOLINE J7674 1,750

Full breakdown by period (1)
PeriodTotal spendBeneficiariesClaims$/beneficiary$/claim
2025 (Q1-Q4) $9K 1,766 1,796 $5.10 $5.02
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.

🗺️ Where J2373 is utilized

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The geographic utilization map is building for this code — it aggregates millions of CMS Part B claim lines, then caches the result. Refresh in a moment; if it doesn’t appear, this code may have no reportable Part B utilization.

📊 What bills under J2373

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
Phenylephrine Hydrochloride 4
NDC products by labeler
Hikma Pharmaceuticals USA Inc. 4

🗃️ 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
Not available in current dataset
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)
2 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 2025
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.

❓ J2373 billing FAQ

What is HCPCS code J2373?
J2373 is a HCPCS Level II J-code used to bill Inj, immphentiv, 20 mcg under Medicare Part B and most medical (not pharmacy) benefits.
What is the billing unit for J2373?
One unit of J2373 represents 20 MCG. Report the number of units equal to the dose administered divided by 20 MCG.
How many units of J2373 should I bill?
Divide the dose administered by the code's unit size (20 MCG) 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 J2373?
The Medicare Part B payment limit is $0.124 per unit (Q3 2026), based on ASP + 6%. After the 2% sequester the effective payment is about $0.122 per unit. Payment limits are revised quarterly.
Which NDCs bill under J2373?
2 NDCs currently map to J2373 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 J2373 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.