J1100

Code

J1100

Description

Injection, dexamethasone sodium phosphate, 1 mg

CMS HCPCS quarterly update

• 00404-9795-30 Dexamethasone Sodium Phosphate, Henry Schein Inc.. Billable units per 11-digit NDC: 120.
• 00404-9805-05 Dexamethasone Sodium Phosphate, Henry Schein Inc.. Billable units per 11-digit NDC: 20.
• 00404-9841-05 Dexamethasone Sodium Phosphate, Henry Schein Inc.. Billable units per 11-digit NDC: 20.
• 00404-9842-10 Dexamethasone Sodium Phosphate, Henry Schein Inc.. Billable units per 11-digit NDC: 100.
• 00404-9843-30 Dexamethasone Sodium Phosphate, Henry Schein Inc.. Billable units per 11-digit NDC: 120.
• 00641-0367-25 Dexamethasone Sodium Phosphate, Hikma Pharmaceuticals USA Inc.. Billable units per 11-digit NDC: 250.
• 00641-6145-25 Dexamethasone Sodium Phosphate, Hikma Pharmaceuticals USA Inc.. Billable units per 11-digit NDC: 100.
• 00641-6146-10 Dexamethasone Sodium Phosphate, Hikma Pharmaceuticals USA Inc.. Billable units per 11-digit NDC: 200.
• 00641-6146-25 Dexamethasone Sodium Phosphate, Hikma Pharmaceuticals USA Inc.. Billable units per 11-digit NDC: 500.
• 25021-0052-01 Dexamethasone Sodium Phosphate, Sagent Pharmaceuticals. Billable units per 11-digit NDC: 100.
• 25021-0052-05 Dexamethasone Sodium Phosphate, Sagent Pharmaceuticals. Billable units per 11-digit NDC: 500.
• 25021-0053-01 Dexamethasone Sodium Phosphate, Sagent Pharmaceuticals. Billable units per 11-digit NDC: 250.
• 50090-0414-00 Dexamethasone Sodium Phosphate, A-S Medication Solutions. Billable units per 11-digit NDC: 120.
• 50090-0627-02 Dexamethasone Sodium Phosphate, A-S Medication Solutions. Billable units per 11-digit NDC: 40.
• 50090-1922-00 Dexamethasone Sodium Phosphate, A-S Medication Solutions. Billable units per 11-digit NDC: 100.
• 50090-1922-01 Dexamethasone Sodium Phosphate, A-S Medication Solutions. Billable units per 11-digit NDC: 4.
• 50090-2313-02 Dexamethasone Sodium Phosphate, A-S Medication Solutions. Billable units per 11-digit NDC: 500.
• 50090-3300-00 Dexamethasone Sodium Phosphate, A-S Medication Solutions. Billable units per 11-digit NDC: 3000.
• 50090-3541-00 Dexamethasone Sodium Phosphate, A-S Medication Solutions. Billable units per 11-digit NDC: 250.
• 51662-1297-01 Dexamethasone Sodium Phosphate, HF Acquisition Co. LLC, DBA HealthFirst. Billable units per 11-digit NDC: 20.
• 51662-1297-03 Dexamethasone Sodium Phosphate, HF Acquisition Co. LLC, DBA HealthFirst. Billable units per 11-digit NDC: 500.
• 51662-1343-01 Dexamethasone Sodium Phosphate, HF Acquisition Co. LLC, DBA HealthFirst. Billable units per 11-digit NDC: 10.
• 51662-1343-03 Dexamethasone Sodium Phosphate, HF Acquisition Co. LLC, DBA HealthFirst. Billable units per 11-digit NDC: 250.
• 51662-1541-01 Dexamethasone Sodium Phosphate, HF Acquisition Co. LLC, DBA HealthFirst. Billable units per 11-digit NDC: 100.
• 51662-1660-01 Dexamethasone Sodium Phosphate, HF Acquisition Co. LLC, DBA HealthFirst. Billable units per 11-digit NDC: 20.
• 51662-1660-03 Dexamethasone Sodium Phosphate, HF Acquisition Co. LLC, DBA HealthFirst. Billable units per 11-digit NDC: 200.
• 55150-0239-30 Dexamethasone Sodium Phosphate, Eugia US LLC. Billable units per 11-digit NDC: 3000.
• 55150-0304-25 Dexamethasone Sodium Phosphate, Eugia US LLC. Billable units per 11-digit NDC: 250.
• 55150-0305-10 Dexamethasone Sodium Phosphate, Eugia US LLC. Billable units per 11-digit NDC: 1000.
• 63323-0165-01 Dexamethasone Sodium Phosphate, FreseniUS Kabi USA, LLC. Billable units per 11-digit NDC: 100.
• 63323-0165-05 Dexamethasone Sodium Phosphate, FreseniUS Kabi USA, LLC. Billable units per 11-digit NDC: 500.
• 63323-0165-16 Dexamethasone Sodium Phosphate, FreseniUS Kabi USA, LLC. Billable units per 11-digit NDC: 100.
• 63323-0165-26 Dexamethasone Sodium Phosphate, FreseniUS Kabi USA, LLC. Billable units per 11-digit NDC: 500.
• 63323-0165-30 Dexamethasone Sodium Phosphate, FreseniUS Kabi USA, LLC. Billable units per 11-digit NDC: 120.
• 63323-0506-01 Dexamethasone Sodium Phosphate, FreseniUS Kabi USA, LLC. Billable units per 11-digit NDC: 250.
• 63323-0506-16 Dexamethasone Sodium Phosphate, FreseniUS Kabi USA, LLC. Billable units per 11-digit NDC: 250.
• 63323-0516-10 Dexamethasone Sodium Phosphate, FreseniUS Kabi USA, LLC. Billable units per 11-digit NDC: 1000.
• 67457-0418-05 Dexamethasone Sodium Phosphate, Mylan Institutional LLC. Billable units per 11-digit NDC: 500.
• 67457-0419-01 Dexamethasone Sodium Phosphate, Mylan Institutional LLC. Billable units per 11-digit NDC: 100.
• 67457-0420-10 Dexamethasone Sodium Phosphate, Mylan Institutional LLC. Billable units per 11-digit NDC: 1000.
• 67457-0421-30 Dexamethasone Sodium Phosphate, Mylan Institutional LLC. Billable units per 11-digit NDC: 3000.
• 67457-0422-54 Dexamethasone Sodium Phosphate, Mylan Institutional LLC. Billable units per 11-digit NDC: 500.
• 67457-0423-12 Dexamethasone Sodium Phosphate, Mylan Institutional LLC. Billable units per 11-digit NDC: 100.
• 67457-0483-10 Dexamethasone Sodium Phosphate, Mylan Institutional LLC. Billable units per 11-digit NDC: 1000.
• 67457-0484-30 Dexamethasone Sodium Phosphate, Mylan Institutional LLC. Billable units per 11-digit NDC: 3000.
• 70069-0021-25 Dexamethasone Sodium Phosphate, Somerset Pharma, LLC. Billable units per 11-digit NDC: 250.
• 70069-0025-10 Dexamethasone Sodium Phosphate, Somerset Pharma, LLC. Billable units per 11-digit NDC: 1000.
• 72485-0118-25 Dexamethasone Sodium Phosphate, Armas Pharmaceuticals Inc.. Billable units per 11-digit NDC: 250.
• 72572-0120-25 Dexamethasone Sodium Phosphate, Civica, Inc.. Billable units per 11-digit NDC: 100.
• 72572-0122-25 Dexamethasone Sodium Phosphate, Civica, Inc.. Billable units per 11-digit NDC: 250.
• 76045-0109-10 Dexamethasone Sodium Phosphate, FreseniUS Kabi USA, LLC. Billable units per 11-digit NDC: 240.
• 76045-0210-10 Dexamethasone Sodium Phosphate, FreseniUS Kabi USA, LLC. Billable units per 11-digit NDC: 96.
• 76045-0212-10 Dexamethasone Sodium Phosphate, FreseniUS Kabi USA, LLC. Billable units per 11-digit NDC: 240.
• 81565-0202-02 Dexamethasone Sodium Phosphate, Phlow Corporation. Billable units per 11-digit NDC: 100.

Source: CMS ASP NDC-HCPCS crosswalk, effective October 1, 2026 through December 31, 2026.