J3290
J3290 – INJECTION, TRANEXAMIC ACID, 5 MG · NDC Crosswalk & Billing Units
HCPCS Level II J-code · Medicare Part B drug billing
J-code
● 11 NDCs crosswalked
📋 J3290 summary
J3290 is a HCPCS Level II J-code used to bill TRANEXAMIC ACID, 5 MG. The number of billing units to report depends on the dose administered and the NDC/package billed — use the calculator below.
⚠ 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 codeJ3290
DescriptorINJECTION, TRANEXAMIC ACID, 5 MG
Billing unitNot available in current dataset
Payment limit / unit Not available in current dataset
Mapped NDCs11
Data periodNot available in current dataset
Last updatedSource date not available
💊 About Tranexamic Acid DRUG GUIDE
Tranexamic acid injection — including the brands Cyklokapron and Tranexamic Acid in Sodium Chloride — is used in people with hemophilia to reduce or prevent bleeding and to lower the need for clotting-factor replacement therapy around the time of a tooth extraction.
This use is short-term (2 to 8 days).Tranexamic acid tablets (brand Lysteda, and generic tranexamic acid tablets) are used to treat cyclic heavy menstrual bleeding in females of reproductive age.
They are taken only during each menstrual period, not every day of the month.
Clinical overview from our editorial drug guide for Tranexamic Acid. For billing reference, see the sections above.
🧾 Billing & reimbursement HCPCS · CMS
Medicare payment limit / unit
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Est. ASP / unit
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Est. after 2% sequester
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HCPCS dosage
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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).
🧮 Dosing & billing-units calculator HCPCS UNITS
One billing unit of J3290 = 1 unit. 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 J3290 LEAST EXPENSIVE FIRST
11 NDCs map to J3290. Bill units = how many HCPCS units one package represents.
| NDC (11-digit) | Drug | Labeler | Package | Strength | Bill units | NADAC / unit | Status | Source |
|---|---|---|---|---|---|---|---|---|
| 72485-0107-10 | TRANEXAMIC ACID 100 mg/mL INJECTION | Armas | 10 VIAL, GLASS in 1 CARTON (72485-107-10)... | 100 mg/mL | 20 | $0.379 | ● Active | PDAC |
| 25021-0415-66 | Tranexamic Acid 100 mg/mL INJECTION, SOLUTION | Sagent | 10 VIAL in 1 CARTON (25021-415-66) / 10 m... | 100 mg/mL | 20 | $0.404 | ● Active | PDAC |
| 23155-0910-41 | Tranexamic Acid 100 mg/mL INJECTION | Heritage | 10 VIAL, SINGLE-DOSE in 1 CARTON (23155-91... | 100 mg/mL | 20 | $0.404 | ● Active | PDAC |
| 25021-0415-10 | Tranexamic Acid 100 mg/mL INJECTION, SOLUTION | Sagent | 10 VIAL in 1 CARTON (25021-415-10) / 10 m... | 100 mg/mL | 20 | $0.404 | ● Active | PDAC |
| 43066-0008-10 | TRANEXAMIC ACID 100 mg/mL INJECTION | Baxter | 10 CARTON in 1 BOX (43066-008-10) / 1 VIA... | 100 mg/mL | 20 | $0.404 | ● Active | PDAC |
| 72485-0510-10 | Tranexamic Acid 100 mg/mL INJECTION | Armas | 10 VIAL in 1 CARTON (72485-510-10) / 10 m... | 100 mg/mL | 20 | $0.404 | ● Active | PDAC |
| 72603-0387-10 | TRANEXAMIC ACID 100 mg/mL INJECTION | Northstar | 10 VIAL, SINGLE-DOSE in 1 CARTON (72603-38... | 100 mg/mL | 20 | $0.404 | ● Active | PDAC |
| 81284-0611-10 | tranexamic acid 100 mg/mL INJECTION, SOLUTION | Provepharm | 10 VIAL, SINGLE-DOSE in 1 CARTON (81284-61... | 100 mg/mL | 20 | $0.404 | ● Active | PDAC |
| 81284-0612-10 | tranexamic acid 100 mg/mL INJECTION, SOLUTION | Provepharm | 10 VIAL, SINGLE-DOSE in 1 CARTON (81284-61... | 100 mg/mL | 20 | $0.404 | ● Active | PDAC |
| 23155-0909-41 | Tranexamic Acid 100 mg/mL INJECTION | Heritage | 10 AMPULE in 1 CARTON (23155-909-41) / 10... | 100 mg/mL | 20 | — | ● Active | PDAC |
| 81284-0611-00 | TRANEXAMIC ACID SDV 100 MG/1 ML | Unknown | — | — | 20 | — | — | 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 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
$18.00
Medicare paid
$14.58
Submitted services
41,861
Denial rate
98.6%
Allowed / service
$0.03
Submitted charges
$6.7K
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.
📊 What bills under J3290
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
NDC products by labeler
🗃️ 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)
Not available
NDC ↔ HCPCS crosswalk
CMS ASP NDC-HCPCS crosswalk + DMEPDAC (PDAC)
11 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
No reportable utilization
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.
❓ J3290 billing FAQ
What is HCPCS code J3290?
J3290 is a HCPCS Level II J-code used to bill INJECTION, TRANEXAMIC ACID, 5 MG under Medicare Part B and most medical (not pharmacy) benefits.
Which NDCs bill under J3290?
11 NDCs currently map to J3290 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 J3290 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.