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J8499

J8499 – Prescription drug, oral, non chemotherapeutic, nos · NDC Crosswalk & Billing Units

HCPCS Level II J-code · Medicare Part B drug billing
J-code ● 141 NDCs crosswalked

📋 J8499 summary

J8499 is a HCPCS Level II J-code used to bill Prescription drug, oral, non chemotherapeutic, nos. 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 J8499: Nintedanib, Valganciclovir Hydrochloride, Acyclovir

⚠ 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 codeJ8499
DescriptorPrescription drug, oral, non chemotherapeutic, nos
Billing unitNot available in current dataset
Payment limit / unit Not available in current dataset
Mapped NDCs141
Data periodNot available in current dataset
Last updatedSource date not available

💊 About Valganciclovir DRUG GUIDE

Valganciclovir treats CMV retinitis — a viral infection that can damage the retina and threaten vision — in adults with AIDS.

It is also used to prevent CMV disease in adults who have had a kidney, heart, or kidney-pancreas transplant and are at high risk for infection.In children, valganciclovir is used to prevent CMV disease in pediatric kidney transplant patients ages 4 months to 16 years, and in pediatric heart transplant patients ages 1 month to 16 years.

The oral solution form is specifically indicated for these pediatric uses.

Read the full Valganciclovir drug guide →
Clinical overview from our editorial drug guide for Valganciclovir. For billing reference, see the sections above.

🧾 Billing & reimbursement HCPCS · CMS

Medicare payment limit / unit
Est. ASP / unit
Est. after 2% sequester
HCPCS dosage
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).
Full HCPCS code details (official CMS record)
Long descriptionPrescription drug, oral, non chemotherapeutic, nos
CoverageM — Non-covered by Medicare
Pricing indicator00 — Not separately priced (bundled)
Type of service1 — Medical care
BETOS-2O1E
ASC payment group
Action codeN — No maintenance this year
Effective date1997-01-01
Date added1995-01-01
Source: CMS HCPCS Level II code file (imported via admin).

🧮 Dosing & billing-units calculator HCPCS UNITS

One billing unit of J8499 = 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 J8499 LEAST EXPENSIVE FIRST

141 NDCs map to J8499. Bill units = how many HCPCS units one package represents.
NDC (11-digit)DrugLabelerPackageStrength Bill units NADAC / unit StatusSource
62135-0803-47 Acyclovir 200 mg/5mL SUSPENSION Chartwell 473 mL in 1 BOTTLE (62135-803-47) 200 mg/5mL 1 $0.069 ● Active PDAC
72205-0170-72 Acyclovir suspension 200 mg/5mL SUSPENSION Novadoz 473 mL in 1 BOTTLE (72205-170-72) 200 mg/5mL 1 $0.069 ● Active PDAC
72888-0079-17 Acyclovir 200 mg/5mL SUSPENSION Advagen 473 mL in 1 BOTTLE (72888-079-17) 200 mg/5mL 1 $0.069 ● Active PDAC
70954-0188-10 acyclovir 200 mg/5mL SUSPENSION ANI 473 mL in 1 BOTTLE (70954-188-10) 200 mg/5mL 1 $0.069 ● Active PDAC
00472-0082-16 Acyclovir 200 mg/5mL SUSPENSION Actavis 473 mL in 1 BOTTLE (0472-0082-16) 200 mg/5mL 1 $0.069 ● Active PDAC
00904-7519-61 ACYCLOVIR 200 mg/1 CAPSULE Major 100 BLISTER PACK in 1 CARTON (0904-7519-61... 200 mg/1 1 $0.097 ● Active PDAC
62135-0039-50 Acyclovir 200 mg/1 CAPSULE Chartwell 50 CAPSULE in 1 BOTTLE (62135-039-50) 200 mg/1 1 $0.097 ● Active PDAC
72578-0002-01 acyclovir 200 mg/1 CAPSULE Viona 100 CAPSULE in 1 BOTTLE (72578-002-01) 200 mg/1 1 $0.097 ● Active PDAC
72578-0002-05 acyclovir 200 mg/1 CAPSULE Viona 500 CAPSULE in 1 BOTTLE (72578-002-05) 200 mg/1 1 $0.097 ● Active PDAC
61442-0114-05 Acyclovir 200 mg/1 CAPSULE Carlsbad 12 BOTTLE, PLASTIC in 1 BOX (61442-114-05)... 200 mg/1 1 $0.097 ● Active PDAC
23155-0229-01 ACYCLOVIR 200 mg/1 CAPSULE Heritage 100 CAPSULE in 1 BOTTLE (23155-229-01) 200 mg/1 1 $0.097 ● Active PDAC
23155-0229-05 ACYCLOVIR 200 mg/1 CAPSULE Heritage 500 CAPSULE in 1 BOTTLE (23155-229-05) 200 mg/1 1 $0.097 ● Active PDAC
61442-0114-01 Acyclovir 200 mg/1 CAPSULE Carlsbad 12 BOTTLE, PLASTIC in 1 BOX (61442-114-01)... 200 mg/1 1 $0.097 ● Active PDAC
60505-0042-06 ACYCLOVIR 200 mg/1 CAPSULE Apotex 100 CAPSULE in 1 BOTTLE (60505-0042-6) 200 mg/1 1 $0.097 ● Active PDAC
00904-5789-61 ACYCLOVIR 200 mg/1 CAPSULE Major 100 BLISTER PACK in 1 CARTON (0904-5789-61... 200 mg/1 1 $0.097 Obsolete PDAC
00904-7507-61 Acyclovir 400 mg/1 TABLET Major 100 BLISTER PACK in 1 CARTON (0904-7507-61... 400 mg/1 1 $0.099 ● Active PDAC
69367-0137-01 Acyclovir 400 mg/1 TABLET Westminster 100 TABLET in 1 BOTTLE (69367-137-01) 400 mg/1 1 $0.099 ● Active PDAC
69367-0137-05 Acyclovir 400 mg/1 TABLET Westminster 500 TABLET in 1 BOTTLE (69367-137-05) 400 mg/1 1 $0.099 ● Active PDAC
69452-0290-20 Acyclovir 400 mg/1 TABLET Bionpharma 100 TABLET in 1 BOTTLE (69452-290-20) 400 mg/1 1 $0.099 ● Active PDAC
69452-0290-30 Acyclovir 400 mg/1 TABLET Bionpharma 500 TABLET in 1 BOTTLE (69452-290-30) 400 mg/1 1 $0.099 ● Active PDAC
60505-5306-01 acyclovir 400 mg/1 TABLET Apotex 100 TABLET in 1 BOTTLE (60505-5306-1) 400 mg/1 1 $0.099 ● Active PDAC
69117-0018-01 Acyclovir 400 mg/1 TABLET YILING 100 TABLET in 1 BOTTLE (69117-0018-1) 400 mg/1 1 $0.109 ● Active PDAC
69117-0018-02 Acyclovir 400 mg/1 TABLET YILING 500 TABLET in 1 BOTTLE (69117-0018-2) 400 mg/1 1 $0.109 ● Active PDAC
69367-0138-01 Acyclovir 800 mg/1 TABLET Westminster 100 TABLET in 1 BOTTLE (69367-138-01) 800 mg/1 1 $0.185 ● Active PDAC
69367-0138-05 Acyclovir 800 mg/1 TABLET Westminster 500 TABLET in 1 BOTTLE (69367-138-05) 800 mg/1 1 $0.185 ● Active PDAC
62135-0019-50 Acyclovir 800 mg/1 TABLET Chartwell 50 TABLET in 1 BOTTLE (62135-019-50) 800 mg/1 1 $0.185 ● Active PDAC
69452-0291-20 Acyclovir 800 mg/1 TABLET Bionpharma 100 TABLET in 1 BOTTLE (69452-291-20) 800 mg/1 1 $0.185 ● Active PDAC
69452-0291-30 Acyclovir 800 mg/1 TABLET Bionpharma 500 TABLET in 1 BOTTLE (69452-291-30) 800 mg/1 1 $0.185 ● Active PDAC
60505-5307-01 acyclovir 800 mg/1 TABLET Apotex 100 TABLET in 1 BOTTLE (60505-5307-1) 800 mg/1 1 $0.185 ● Active PDAC
69117-0019-01 Acyclovir 800 mg/1 TABLET YILING 100 TABLET in 1 BOTTLE (69117-0019-1) 800 mg/1 1 $0.190 ● Active PDAC
69117-0019-02 Acyclovir 800 mg/1 TABLET YILING 500 TABLET in 1 BOTTLE (69117-0019-2) 800 mg/1 1 $0.190 ● Active PDAC
62135-0611-90 Calcitriol .5 ug/1 CAPSULE Chartwell 90 CAPSULE in 1 BOTTLE (62135-611-90) .5 ug/1 1 $0.239 ● Active PDAC
69452-0208-20 Calcitriol .5 ug/1 CAPSULE, LIQUID FILLED BIONPHARMA 100 CAPSULE, LIQUID FILLED in 1 BOTTLE, PL... .5 ug/1 1 $0.239 ● Active PDAC
23155-0663-01 CALCITRIOL .5 ug/1 CAPSULE Heritage 100 CAPSULE in 1 BOTTLE (23155-663-01) .5 ug/1 1 $0.239 ● Active PDAC
62756-0968-88 Calcitriol .5 ug/1 CAPSULE, LIQUID FILLED Sun 100 CAPSULE, LIQUID FILLED in 1 BOTTLE (62... .5 ug/1 1 $0.241 ● Active PDAC
81665-0104-96 CROMOLYN SODIUM 100 mg/5mL SOLUTION, CONCENTRATE Omnivium 12 POUCH in 1 CARTON (81665-104-96) / 8 A... 100 mg/5mL 1 $0.336 ● Active PDAC
76204-0025-96 Cromolyn Sodium Oral Solution (Concentrate) 100 mg/5mL SOLUTION, CONCENTRATE Ritedose 12 POUCH in 1 CARTON (76204-025-96) / 8 A... 100 mg/5mL 1 $0.336 Obsolete PDAC
16571-0600-96 CROMOLYN SODIUM 100 mg/5mL SOLUTION, CONCENTRATE Rising 12 POUCH in 1 CARTON (16571-600-96) / 8 A... 100 mg/5mL 1 $0.336 ● Active PDAC
72603-0750-01 VALGANCICLOVIR HYDROCHLORIDE 450 mg/1 TABLET NorthStar 60 TABLET in 1 BOTTLE (72603-750-01) 450 mg/1 1 $2.015 ● Active PDAC
64380-0161-01 Valganciclovir 450 mg/1 TABLET, FILM COATED Strides 60 TABLET, FILM COATED in 1 BOTTLE, PLASTI... 450 mg/1 1 $2.015 ● Active PDAC
64380-0153-01 Valganciclovir 450 mg/1 TABLET, FILM COATED Strides 60 TABLET, FILM COATED in 1 BOTTLE, PLASTI... 450 mg/1 1 $2.015 ● Active PDAC
27241-0158-60 Valganciclovir 450 mg/1 TABLET Ajanta 60 TABLET in 1 BOTTLE (27241-158-60) 450 mg/1 1 $2.015 ● Active PDAC
00904-6796-04 Valganciclovir 450 mg/1 TABLET, FILM COATED Major 30 BLISTER PACK in 1 CARTON (0904-6796-04)... 450 mg/1 1 $2.015 ● Active PDAC
00904-6796-10 Valganciclovir 450 mg/1 TABLET, FILM COATED Major 20 BLISTER PACK in 1 CARTON (0904-6796-10)... 450 mg/1 1 $2.015 ● Active PDAC
00781-2495-60 nintedanib 150 mg/1 CAPSULE Sandoz 60 CAPSULE in 1 BOTTLE (0781-2495-60) 150 mg/1 1 $16.177 ● Active PDAC
42799-0973-01 Nintedanib 150 mg/1 CAPSULE Edenbridge 60 CAPSULE in 1 BOTTLE (42799-973-01) 150 mg/1 1 $16.177 ● Active PDAC
43598-0147-60 Nintedanib 150 mg/1 CAPSULE Dr. 60 CAPSULE in 1 BOTTLE (43598-147-60) 150 mg/1 1 $16.177 ● Active PDAC
60505-4819-06 Nintedanib 150 mg/1 CAPSULE Apotex 1 BOTTLE in 1 CARTON (60505-4819-6) / 60... 150 mg/1 1 $16.177 ● Active PDAC
69097-0639-03 Nintedanib 150 mg/1 CAPSULE Cipla 60 CAPSULE in 1 BOTTLE (69097-639-03) 150 mg/1 1 $16.177 ● Active PDAC
00781-2492-60 nintedanib 100 mg/1 CAPSULE Sandoz 60 CAPSULE in 1 BOTTLE (0781-2492-60) 100 mg/1 1 ● Active PDAC
42799-0972-01 Nintedanib 100 mg/1 CAPSULE Edenbridge 60 CAPSULE in 1 BOTTLE (42799-972-01) 100 mg/1 1 ● Active PDAC
43598-0148-60 Nintedanib 100 mg/1 CAPSULE Dr. 60 CAPSULE in 1 BOTTLE (43598-148-60) 100 mg/1 1 ● Active PDAC
60505-4818-06 Nintedanib 100 mg/1 CAPSULE Apotex 1 BOTTLE in 1 CARTON (60505-4818-6) / 60... 100 mg/1 1 ● Active PDAC
69097-0641-03 Nintedanib 100 mg/1 CAPSULE Cipla 60 CAPSULE in 1 BOTTLE (69097-641-03) 100 mg/1 1 ● Active PDAC
68999-0803-23 Acyclovir 200 mg/5mL SUSPENSION Chartwell 2 TRAY in 1 BOX (68999-803-23) / 10 CUP i... 200 mg/5mL 1 ● Active PDAC
68999-0803-24 Acyclovir 200 mg/5mL SUSPENSION Chartwell 2 TRAY in 1 BOX (68999-803-24) / 10 CUP i... 200 mg/5mL 1 ● Active PDAC
62135-0803-23 Acyclovir 200 mg/5mL SUSPENSION Chartwell 2 TRAY in 1 BOX (62135-803-23) / 10 CUP i... 200 mg/5mL 1 ● Active PDAC
62135-0803-24 Acyclovir 200 mg/5mL SUSPENSION Chartwell 2 TRAY in 1 BOX (62135-803-24) / 10 CUP i... 200 mg/5mL 1 ● Active PDAC
59651-0493-47 ACYCLOVIR 200 mg/5mL SUSPENSION Aurobindo 473 mL in 1 BOTTLE (59651-493-47) 200 mg/5mL 1 ● Active PDAC
42291-0973-60 Valganciclovir 450 mg/1 TABLET, FILM COATED AvKARE 60 TABLET, FILM COATED in 1 BOTTLE (42291-... 450 mg/1 1 ● Active PDAC
61269-0480-60 Valcyte valganciclovir 450 mg/1 TABLET, FILM COATED H2-Pharma, 1 BOTTLE, PLASTIC in 1 CARTON (61269-480-6... 450 mg/1 1 ● Active PDAC
60429-0846-60 Valganciclovir 450 mg/1 TABLET, FILM COATED Golden 60 TABLET, FILM COATED in 1 BOTTLE (60429-... 450 mg/1 1 Obsolete PDAC
00597-0143-60 Ofev nintedanib 100 mg/1 CAPSULE Boehringer 1 BOTTLE in 1 CARTON (0597-0143-60) / 60... 100 mg/1 1 ● Active PDAC
00597-0145-60 Ofev nintedanib 150 mg/1 CAPSULE Boehringer 1 BOTTLE in 1 CARTON (0597-0145-60) / 60... 150 mg/1 1 ● Active PDAC
66267-0399-30 acyclovir 800 mg/1 TABLET NuCare 30 TABLET in 1 BOTTLE (66267-399-30) 800 mg/1 1 ● Active PDAC
63629-1678-01 Acyclovir 800 mg/1 TABLET Bryant 25 TABLET in 1 BOTTLE (63629-1678-1) 800 mg/1 1 ● Active PDAC
63629-1678-02 Acyclovir 800 mg/1 TABLET Bryant 35 TABLET in 1 BOTTLE (63629-1678-2) 800 mg/1 1 ● Active PDAC
63629-1678-03 Acyclovir 800 mg/1 TABLET Bryant 30 TABLET in 1 BOTTLE (63629-1678-3) 800 mg/1 1 ● Active PDAC
52959-0678-30 ACYCLOVIR 800 MG Unknown 1 PDAC
66267-0006-40 ACYCLOVIR 200 MG Unknown 1 PDAC
66267-0006-25 ACYCLOVIR 200 MG Unknown 1 PDAC
66267-0006-50 ACYCLOVIR 200 MG Unknown 1 PDAC
66267-0007-15 ACYCLOVIR 400 MG Unknown 1 PDAC
66267-0007-21 ACYCLOVIR 400 MG Unknown 1 PDAC
66267-0007-25 ACYCLOVIR 400 MG Unknown 1 PDAC
52959-0330-00 ZOVIRAX 200 MG Unknown 1 PDAC
52959-0330-25 ZOVIRAX 200 MG Unknown 1 PDAC
52959-0330-50 ZOVIRAX 200 MG Unknown 1 PDAC
55289-0564-15 ZOVIRAX 800 MG Unknown 1 PDAC
55289-0564-20 ZOVIRAX 800 MG Unknown 1 PDAC
55289-0564-48 ZOVIRAX 800 MG Unknown 1 PDAC
55289-0691-12 ZOVIRAX 400 MG Unknown 1 PDAC
55289-0691-15 ZOVIRAX 400 MG Unknown 1 PDAC
55289-0691-25 ZOVIRAX 400 MG Unknown 1 PDAC
66689-0342-16 ACYCLOVIR (1X473ML;USP,BANANA) 200 MG/5 ML Unknown 1 PDAC
23155-0485-51 ACYCLOVIR (BANANA) 200 MG/5 ML Unknown 1 PDAC
42291-0017-01 ACYCLOVIR 200 MG Unknown 1 PDAC
42291-0017-50 ACYCLOVIR 200 MG Unknown 1 PDAC
69097-0277-03 VALGANCICLOVIR HYDROCHLORIDE (FILM-COATED) 450 MG Unknown 1 PDAC
00378-8712-73 ACYCLOVIR (BANANA) 200 MG/5 ML Unknown 1 PDAC
00378-9735-73 ZOVIRAX 200 MG/5 ML Unknown 1 PDAC
16714-0765-01 VALGANCICLOVIR HYDROCHLORIDE (FILM-COATED) 450 MG Unknown 1 PDAC
00603-6330-20 VALGANCICLOVIR HYDROCHLORIDE (USP,FILM-COATED) 450 MG Unknown 1 PDAC
00904-5790-61 ACYCLOVIR (10X10,USP) 400 MG Unknown 1 PDAC
23155-0119-01 CALCITRIOL 0.5 MCG Unknown 1 PDAC
55289-0629-50 ACYCLOVIR (USP) 800 MG Unknown 1 PDAC
55289-0462-35 ACYCLOVIR (USP) 400 MG Unknown 1 PDAC
52959-0544-40 ACYCLOVIR 400 MG Unknown 1 PDAC
33358-0009-25 ACYCLOVIR 200 MG Unknown 1 PDAC
33358-0010-15 ACYCLOVIR 400 MG Unknown 1 PDAC
33358-0010-28 ACYCLOVIR 400 MG Unknown 1 PDAC
33358-0010-30 ACYCLOVIR 400 MG Unknown 1 PDAC
33358-0010-60 ACYCLOVIR 400 MG Unknown 1 PDAC
33358-0011-25 ACYCLOVIR 800 MG Unknown 1 PDAC
33358-0011-30 ACYCLOVIR 800 MG Unknown 1 PDAC
33358-0011-35 ACYCLOVIR 800 MG Unknown 1 PDAC
55289-0629-30 ACYCLOVIR 800 MG Unknown 1 PDAC
60505-5306-08 ACYCLOVIR 400 MG Unknown 1 PDAC
60505-5307-05 ACYCLOVIR 800 MG Unknown 1 PDAC
55289-0462-21 ACYCLOVIR 400 MG Unknown 1 PDAC
55289-0273-30 ACYCLOVIR 200 MG Unknown 1 PDAC
55289-0462-60 ACYCLOVIR (USP) 400 MG Unknown 1 PDAC
50383-0810-16 ACYCLOVIR (BANANA) 200 MG/5 ML Unknown 1 PDAC
49999-0231-35 ACYCLOVIR 800 MG Unknown 1 PDAC
58864-0876-35 ACYCLOVIR 200 MG Unknown 1 PDAC
63629-1676-01 ACYCLOVIR 200 MG Unknown 1 PDAC
63629-1676-02 ACYCLOVIR 200 MG Unknown 1 PDAC
63629-1676-03 ACYCLOVIR 200 MG Unknown 1 PDAC
58864-0191-25 ACYCLOVIR (REDI-SCRIPT) 800 MG Unknown 1 PDAC
58864-0191-35 ACYCLOVIR (REDI-SCRIPT) 800 MG Unknown 1 PDAC
55289-0462-05 ACYCLOVIR 400 MG Unknown 1 PDAC
55289-0629-10 ACYCLOVIR 800 MG Unknown 1 PDAC
66267-0007-30 ACYCLOVIR 400 MG Unknown 1 PDAC
00004-0038-22 VALCYTE 450 MG Unknown 1 PDAC
52959-0544-01 ACYCLOVIR 400 MG Unknown 1 PDAC
52959-0544-10 ACYCLOVIR 400 MG Unknown 1 PDAC
52959-0544-12 ACYCLOVIR 400 MG Unknown 1 PDAC
52959-0544-15 ACYCLOVIR 400 MG Unknown 1 PDAC
52959-0544-21 ACYCLOVIR 400 MG Unknown 1 PDAC
52959-0544-25 ACYCLOVIR 400 MG Unknown 1 PDAC
52959-0544-30 ACYCLOVIR 400 MG Unknown 1 PDAC
52959-0544-50 ACYCLOVIR 400 MG Unknown 1 PDAC
55289-0273-10 ACYCLOVIR 200 MG Unknown 1 PDAC
55289-0273-25 ACYCLOVIR 200 MG Unknown 1 PDAC
55289-0273-35 ACYCLOVIR 200 MG Unknown 1 PDAC
55289-0273-50 ACYCLOVIR 200 MG Unknown 1 PDAC
55289-0462-12 ACYCLOVIR 400 MG Unknown 1 PDAC
55289-0462-15 ACYCLOVIR 400 MG Unknown 1 PDAC
55289-0462-25 ACYCLOVIR 400 MG Unknown 1 PDAC
55289-0462-30 ACYCLOVIR 400 MG Unknown 1 PDAC
63304-0652-05 ACYCLOVIR 200 MG Unknown 1 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
$0.00
Medicare paid
$0.00
Submitted services
38,224
Denial rate
100.0%
Submitted charges
$324.9K
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 J8499 is utilized

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 J8499

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
Acyclovir 16
nintedanib 10
acyclovir 9
Nintedanib 6
Valganciclovir 4
Calcitriol 4
ACYCLOVIR 3
Valganciclovir hydrochloride 3
NDC products by labeler
Edenbridge Pharmaceuticals LLC. 6
Major Pharmaceuticals 5
Apotex Corp. 5
Chartwell RX, LLC 4
Heritage Pharmaceuticals Inc. d/b/... 3
Boehringer Ingelheim Pharmaceutica... 2
Sandoz Inc 2
Dr. Reddy's Laboratories Inc. 2

🗃️ 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)
Not available
NDC ↔ HCPCS crosswalk
CMS ASP NDC-HCPCS crosswalk + DMEPDAC (PDAC)
141 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.

J8499 billing FAQ

What is HCPCS code J8499?
J8499 is a HCPCS Level II J-code used to bill Prescription drug, oral, non chemotherapeutic, nos under Medicare Part B and most medical (not pharmacy) benefits.
Which NDCs bill under J8499?
141 NDCs currently map to J8499 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 J8499 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.