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J2704

J2704 – Injection, propofol, 10 mg · NDC Crosswalk & Billing Units

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

J-code ● 62 NDCs crosswalked per 10 MG $0.089/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

📋 J2704 summary

J2704 is a HCPCS Level II J-code used to bill propofol, 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 J2704: Diprivan*, Propofol, Propofol Injectable Emulsion

Code J2704 Billing unit 10 MG Payment limit $0.089/unit NDC-Crosswalk 62 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 codeJ2704

DescriptorInjection, propofol, 10 mg

Billing unit10 MG

Payment limit / unit$0.089

Est. ASP / unit$0.084 est.

Mapped NDCs62

Data periodQ3 2026

Last updated2026-09-20

💊 About Propofol DRUG GUIDE

Propofol is used to put people under general anesthesia and to provide sedation.

It is given through a vein by clinicians trained in anesthesia or critical care.The supported uses are starting general anesthesia (ages 3 and up), keeping general anesthesia going (ages 2 months and up), and sedation in adults during procedures.

It is also used for sedation of adults in the ICU who are intubated and on a ventilator.

It is not recommended for procedural sedation in children, and it is not indicated for ICU sedation in children.

Read the full Propofol drug guide →

Clinical overview from our editorial drug guide for Propofol. 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

$0.089

Est. ASP / unit

$0.084 est.

Est. after 2% sequester

$0.087

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, propofol, 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 date2015-01-01

Date added2015-01-01

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

🧮 Dosing & billing-units calculator HCPCS UNITS

One billing unit of J2704 = 10 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 J2704 LEAST EXPENSIVE FIRST

62 NDCs map to J2704. Bill units = how many HCPCS units one package represents. Est. pay / pkg = payment limit ($0.089/unit) × that package's bill units.

NDC (11-digit)	Drug	Labeler	Package	Strength	Bill units	Est. pay / pkg	NADAC / unit	Status	Source
00409-6010-25	PROPOFOL 10 mg/mL INJECTION, EMULSION	Hospira,	25 VIAL in 1 TRAY (0409-6010-25) / 20 mL...	10 mg/mL	500	$44.50	$0.171	● Active	CMS + PDAC
25021-0608-20	propofol 10 mg/mL INJECTION, EMULSION	Sagent	25 VIAL in 1 CARTON (25021-608-20) / 20 m...	10 mg/mL	500	$44.50	$0.171	● Active	CMS ASP
43598-0265-25	Propofol Injectable Emulsion 10 mg/mL INJECTION, EMULSION	Dr.	25 VIAL in 1 CARTON (43598-265-25) / 20 m...	10 mg/mL	500	$44.50	$0.171	● Active	CMS + PDAC
71288-0730-51	propofol 10 mg/mL INJECTION, EMULSION	Meitheal	10 VIAL in 1 CARTON (71288-730-51) / 50 m...	10 mg/mL	1	$0.09	$0.171	● Active	PDAC
00069-0209-10	Propofol 10 mg/mL INJECTION, EMULSION	Pfizer	10 VIAL in 1 CARTON (0069-0209-10) / 20 m...	10 mg/mL	200	$17.80	—	● Active	CMS + PDAC
00069-0234-20	Propofol 10 mg/mL INJECTION, EMULSION	Pfizer	20 VIAL in 1 CARTON (0069-0234-20) / 50 m...	10 mg/mL	1,000	$89.00	—	● Active	CMS + PDAC
00069-0248-10	Propofol 10 mg/mL INJECTION, EMULSION	Pfizer	10 VIAL in 1 CARTON (0069-0248-10) / 100...	10 mg/mL	1,000	$89.00	—	● Active	CMS + PDAC
00409-4699-24	PROPOFOL 10 mg/mL INJECTION, EMULSION	Hospira,	10 VIAL in 1 TRAY (0409-4699-24) / 100 mL...	10 mg/mL	1,000	$89.00	—	● Active	CMS ASP
00409-4699-30	Propofol	Pfizer	—	—	100	$8.90	—	—	CMS ASP
00409-4699-33	PROPOFOL 10 mg/mL INJECTION, EMULSION	Hospira,	20 VIAL in 1 TRAY (0409-4699-33) / 50 mL...	10 mg/mL	1,000	$89.00	—	● Active	CMS ASP
00641-6194-10	PROPOFOL 10 mg/mL INJECTION, EMULSION	Hikma	10 VIAL, SINGLE-USE in 1 CARTON (0641-6194...	10 mg/mL	200	$17.80	—	● Active	CMS + PDAC
00641-6195-20	PROPOFOL 10 mg/mL INJECTION, EMULSION	Hikma	20 VIAL, SINGLE-USE in 1 CARTON (0641-6195...	10 mg/mL	1,000	$89.00	—	● Active	CMS + PDAC
00641-6196-10	PROPOFOL 10 mg/mL INJECTION, EMULSION	Hikma	10 VIAL, SINGLE-USE in 1 CARTON (0641-6196...	10 mg/mL	1,000	$89.00	—	● Active	CMS + PDAC
16714-0528-10	propofol 10 mg/mL INJECTION, EMULSION	NorthStar	10 VIAL in 1 CARTON (16714-528-10) / 20 m...	10 mg/mL	200	$17.80	—	● Active	CMS + PDAC
16714-0528-20	propofol 10 mg/mL INJECTION, EMULSION	NorthStar	20 VIAL in 1 CARTON (16714-528-20) / 20 m...	10 mg/mL	400	$35.60	—	● Active	CMS + PDAC
16714-0690-10	propofol 10 mg/mL INJECTION, EMULSION	NorthStar	10 VIAL in 1 CARTON (16714-690-10) / 100...	10 mg/mL	1,000	$89.00	—	● Active	CMS + PDAC
16714-0977-20	propofol 10 mg/mL INJECTION, EMULSION	NorthStar	20 VIAL in 1 CARTON (16714-977-20) / 50 m...	10 mg/mL	1,000	$89.00	—	● Active	CMS + PDAC
23155-0345-41	propofol 10 mg/mL INJECTION, EMULSION	Heritage	10 VIAL in 1 CARTON (23155-345-41) / 20 m...	10 mg/mL	200	$17.80	—	● Active	CMS + PDAC
23155-0345-42	propofol 10 mg/mL INJECTION, EMULSION	Heritage	20 VIAL in 1 CARTON (23155-345-42) / 50 m...	10 mg/mL	1,000	$89.00	—	● Active	CMS + PDAC
23155-0345-43	propofol 10 mg/mL INJECTION, EMULSION	Heritage	10 VIAL in 1 CARTON (23155-345-43) / 100...	10 mg/mL	1,000	$89.00	—	● Active	CMS + PDAC
23155-0345-44	propofol 10 mg/mL INJECTION, EMULSION	Heritage	20 VIAL in 1 CARTON (23155-345-44) / 20 m...	10 mg/mL	400	$35.60	—	● Active	CMS + PDAC
25021-0608-50	propofol 10 mg/mL INJECTION, EMULSION	Sagent	20 VIAL in 1 CARTON (25021-608-50) / 50 m...	10 mg/mL	1,000	$89.00	—	● Active	CMS ASP
25021-0608-51	propofol 10 mg/mL INJECTION, EMULSION	Sagent	10 VIAL in 1 CARTON (25021-608-51) / 100...	10 mg/mL	1,000	$89.00	—	● Active	CMS ASP
43598-0265-58	Propofol Injectable Emulsion 10 mg/mL INJECTION, EMULSION	Dr.	10 VIAL in 1 CARTON (43598-265-58) / 20 m...	10 mg/mL	200	$17.80	—	● Active	CMS ASP
43598-0548-21	Propofol Injectable Emulsion 10 mg/mL INJECTION, EMULSION	Dr.	20 VIAL in 1 CARTON (43598-548-21) / 50 m...	10 mg/mL	1,000	$89.00	—	● Active	CMS + PDAC
43598-0549-10	Propofol Injectable Emulsion 10 mg/mL INJECTION, EMULSION	Dr.	10 VIAL in 1 CARTON (43598-549-10) / 100...	10 mg/mL	1,000	$89.00	—	● Active	CMS + PDAC
51662-1470-01	PROPOFOL 10 mg/mL INJECTION, EMULSION	HF	100 mL in 1 VIAL (51662-1470-1)	10 mg/mL	100	$8.90	—	● Active	CMS ASP
51662-1471-01	PROPOFOL 10 mg/mL INJECTION, EMULSION	HF	50 mL in 1 VIAL (51662-1471-1)	10 mg/mL	50	$4.45	—	● Active	CMS ASP
63323-0269-10	Diprivan PROPOFOL 10 mg/mL INJECTION, EMULSION	Fresenius	10 VIAL in 1 BOX (63323-269-10) / 10 mL i...	10 mg/mL	100	$8.90	—	● Active	CMS ASP
63323-0269-16	Diprivan PROPOFOL 10 mg/mL INJECTION, EMULSION	Fresenius	10 VIAL in 1 BOX (63323-269-16) / 10 mL i...	10 mg/mL	100	$8.90	—	● Active	CMS + PDAC
63323-0269-29	Diprivan PROPOFOL 10 mg/mL INJECTION, EMULSION	Fresenius	10 VIAL in 1 BOX (63323-269-29) / 20 mL i...	10 mg/mL	200	$17.80	—	● Active	CMS ASP
63323-0269-37	Diprivan PROPOFOL 10 mg/mL INJECTION, EMULSION	Fresenius	10 VIAL in 1 BOX (63323-269-37) / 20 mL i...	10 mg/mL	200	$17.80	—	● Active	CMS ASP
63323-0269-50	Diprivan PROPOFOL 10 mg/mL INJECTION, EMULSION	Fresenius	20 VIAL in 1 BOX (63323-269-50) / 50 mL i...	10 mg/mL	1,000	$89.00	—	● Active	CMS ASP
63323-0269-57	Diprivan PROPOFOL 10 mg/mL INJECTION, EMULSION	Fresenius	20 VIAL in 1 BOX (63323-269-57) / 50 mL i...	10 mg/mL	1,000	$89.00	—	● Active	CMS ASP
63323-0269-59	Diprivan PROPOFOL 10 mg/mL INJECTION, EMULSION	Fresenius	20 VIAL in 1 BOX (63323-269-59) / 50 mL i...	10 mg/mL	1,000	$89.00	—	● Active	CMS ASP
63323-0269-65	Diprivan PROPOFOL 10 mg/mL INJECTION, EMULSION	Fresenius	10 VIAL in 1 BOX (63323-269-65) / 100 mL...	10 mg/mL	1,000	$89.00	—	● Active	CMS ASP
63323-0269-67	Diprivan PROPOFOL 10 mg/mL INJECTION, EMULSION	Fresenius	10 VIAL in 1 BOX (63323-269-67) / 100 mL...	10 mg/mL	1,000	$89.00	—	● Active	CMS ASP
63323-0269-69	Diprivan PROPOFOL 10 mg/mL INJECTION, EMULSION	Fresenius	10 VIAL in 1 BOX (63323-269-69) / 100 mL...	10 mg/mL	1,000	$89.00	—	● Active	CMS ASP
63323-0269-70	Diprivan PROPOFOL 10 mg/mL INJECTION, EMULSION	Fresenius	10 VIAL in 1 BOX (63323-269-70) / 20 mL i...	10 mg/mL	200	$17.80	—	● Active	CMS ASP
63323-0269-77	Diprivan PROPOFOL 10 mg/mL INJECTION, EMULSION	Fresenius	20 VIAL in 1 BOX (63323-269-77) / 50 mL i...	10 mg/mL	1,000	$89.00	—	● Active	CMS ASP
63323-0269-78	Diprivan PROPOFOL 10 mg/mL INJECTION, EMULSION	Fresenius	10 VIAL in 1 BOX (63323-269-78) / 100 mL...	10 mg/mL	1,000	$89.00	—	● Active	CMS ASP
63323-0269-94	Diprivan PROPOFOL 10 mg/mL INJECTION, EMULSION	Fresenius	10 VIAL in 1 BOX (63323-269-94) / 20 mL i...	10 mg/mL	200	$17.80	—	● Active	CMS ASP
65219-0800-10	Diprivan PROPOFOL 10 mg/mL INJECTION, EMULSION	Fresenius	10 VIAL in 1 CARTON (65219-800-10) / 20 m...	10 mg/mL	200	$17.80	—	● Active	CMS + PDAC
72572-0590-10	Propofol 10 mg/mL INJECTION, EMULSION	Civica,	10 VIAL in 1 CARTON (72572-590-10) / 20 m...	10 mg/mL	200	$17.80	—	● Active	CMS + PDAC
72572-0601-20	Propofol 10 mg/mL INJECTION, EMULSION	Civica,	20 VIAL in 1 CARTON (72572-601-20) / 50 m...	10 mg/mL	1,000	$89.00	—	● Active	CMS + PDAC
72572-0612-10	Propofol 10 mg/mL INJECTION, EMULSION	Civica,	10 VIAL in 1 CARTON (72572-612-10) / 100...	10 mg/mL	1,000	$89.00	—	● Active	CMS + PDAC
80830-1188-07	PROPOFOL 10 mg/mL INJECTION, EMULSION	Amneal	10 VIAL in 1 CARTON (80830-1188-7) / 20 m...	10 mg/mL	200	$17.80	—	● Active	CMS + PDAC
80830-2364-08	PROPOFOL 10 mg/mL INJECTION, EMULSION	Amneal	20 VIAL in 1 CARTON (80830-2364-8) / 50 m...	10 mg/mL	1,000	$89.00	—	● Active	CMS + PDAC
80830-2365-07	PROPOFOL 10 mg/mL INJECTION, EMULSION	Amneal	10 VIAL in 1 CARTON (80830-2365-7) / 100...	10 mg/mL	1,000	$89.00	—	● Active	CMS + PDAC
83634-0603-20	Propofol 10 mg/mL INJECTION, EMULSION	Avenacy,	20 VIAL in 1 CARTON (83634-603-20) / 20 m...	10 mg/mL	400	$35.60	—	● Active	CMS ASP
83634-0603-50	Propofol 10 mg/mL INJECTION, EMULSION	Avenacy,	20 VIAL in 1 CARTON (83634-603-50) / 50 m...	10 mg/mL	1,000	$89.00	—	● Active	CMS ASP
83634-0603-51	Propofol 10 mg/mL INJECTION, EMULSION	Avenacy,	10 VIAL in 1 CARTON (83634-603-51) / 100...	10 mg/mL	1,000	$89.00	—	● Active	CMS ASP
71288-0729-21	propofol 10 mg/mL INJECTION, EMULSION	Meitheal	10 VIAL in 1 CARTON (71288-729-21) / 20 m...	10 mg/mL	1	$0.09	—	● Active	PDAC
71288-0731-53	propofol 10 mg/mL INJECTION, EMULSION	Meitheal	10 VIAL in 1 CARTON (71288-731-53) / 100...	10 mg/mL	1	$0.09	—	● Active	PDAC
72572-0612-01	PROPOFOL 10 MG/1 ML	Unknown	—	—	1	$0.09	—	—	PDAC
72572-0590-01	PROPOFOL 10 MG/1 ML	Unknown	—	—	1	$0.09	—	—	PDAC
72572-0601-01	PROPOFOL 10 MG/1 ML	Unknown	—	—	1	$0.09	—	—	PDAC
00264-4850-01	PROPOFOL-LIPURO 1% (10X00ML;SDV,PF) 10 MG/1 ML	Unknown	—	—	1	$0.09	—	—	PDAC
72572-0583-10	PROPOFOL (PF) 10 MG/1 ML	Unknown	—	—	1	$0.09	—	—	PDAC
72572-0584-20	PROPOFOL (PF) 10 MG/1 ML	Unknown	—	—	1	$0.09	—	—	PDAC
72572-0585-10	PROPOFOL (PF) 10 MG/1 ML	Unknown	—	—	1	$0.09	—	—	PDAC
65219-0427-10	FRESENIUS PROPOVEN (10X100ML;SDV,LATEX-FREE) 20 MG/1 ML	Unknown	—	—	2	$0.18	—	—	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

$20.2K

Claims

7,494

Beneficiaries

6,690

Spend / beneficiary

$3.02

Spend / claim

$2.69

Trend by period

Where J2704 ranks among Part B drugs · 2026 (Q1) · neighbors ±5

Total spending — #655 of 824

#650 ATROPINE SULFATE(J04... J0461 $21.1K #651 ZEMDRI J0291 $21K #652 AZASAN* J7500 $20.7K #653 MOXIFLOXACIN J2280 $20.7K #654 NEBUPENT(J2545)* J2545 $20.4K #655 DIPRIVAN* J2704 $20.2K #656 ARTACENT VERICLEN, P... Q4339 $19.8K #657 CLEVIPREX J0759 $19.2K #658 CHORIONIC GONADOTROP... J0725 $18.5K #659 CEFAZOLIN SODIUM-DEX... J0690 $18K #660 TEPADINA(J9342)* J9342 $17.9K

Total claims — #182 of 824

#177 XEOMIN J0588 8,272 #178 PNEUMOVAX 23 90732 7,718 #179 INFLECTRA Q5103 7,654 #180 RELEUKO Q5125 7,637 #181 ERBITUX J9055 7,526 #182 DIPRIVAN* J2704 7,494 #183 BENLYSTA J0490 7,491 #184 TDVAX* 90714 7,419 #185 GLUCAGON EMERGENCY K... J1611 7,378 #186 ALYMSYS Q5126 7,293 #187 MILRINONE IN 5% DEXT... J2260 7,266

Full breakdown by period (2)

Period	Total spend	Beneficiaries	Claims	$/beneficiary	$/claim
2026 (Q1)	$20.2K	6,690	7,494	$3.02	$2.69
2025 (Q1-Q4)	$94.5K	28,322	37,594	$3.34	$2.51

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

$63K

Medicare paid

$47.2K

Submitted services

1,200,397

Denial rate

41.0%

Allowed / service

$0.09

Submitted charges

$9.89M

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 J2704 is utilized CMS · BY PROVIDER · 2024

Medicare Part B services for this code by the rendering provider's state — 736,133 services across 37 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 J2704

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

propofol 14

Propofol 12

PROPOFOL 10

Propofol Injectable Emulsion 3

NDC products by labeler

Pfizer Laboratories Div Pfizer Inc 6

NorthStar Rx LLC 6

Civica, Inc 6

Fresenius Kabi USA, LLC 5

Hikma Pharmaceuticals USA Inc. 3

Dr. Reddy's Laboratories, Inc. 3

Meitheal Pharmaceuticals Inc. 3

Amneal Pharmaceuticals Private Lim... 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 2026-09-20

NDC ↔ HCPCS crosswalk

CMS ASP NDC-HCPCS crosswalk + DMEPDAC (PDAC)

62 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.

❓ J2704 billing FAQ

What is HCPCS code J2704?

J2704 is a HCPCS Level II J-code used to bill Injection, propofol, 10 mg under Medicare Part B and most medical (not pharmacy) benefits.

What is the billing unit for J2704?

One unit of J2704 represents 10 MG. Report the number of units equal to the dose administered divided by 10 MG.

How many units of J2704 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 J2704?

The Medicare Part B payment limit is $0.089 per unit (Q3 2026), based on ASP + 6%. After the 2% sequester the effective payment is about $0.087 per unit. Payment limits are revised quarterly.

Which NDCs bill under J2704?

62 NDCs currently map to J2704 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 J2704 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.