J1171

Code

J1171

Description

Injection, hydromorphone, 0.1 mg

CMS HCPCS quarterly update

• 00409-1283-31 Hydromorphone HCl, Pfizer Inc. Billable units per 11-digit NDC: 100.
• 00409-1283-37 Hydromorphone HCl, Pfizer Inc. Billable units per 11-digit NDC: 100.
• 00409-1304-31 Hydromorphone HCl, Pfizer Inc. Billable units per 11-digit NDC: 400.
• 00409-1312-30 Hydromorphone HCl, Pfizer Inc. Billable units per 11-digit NDC: 200.
• 00409-1312-36 Hydromorphone HCl, Pfizer Inc. Billable units per 11-digit NDC: 200.
• 00409-1805-01 Hydromorphone HCl, Pfizer Inc. Billable units per 11-digit NDC: 25.
• 00409-2634-01 Hydromorphone HCl, Pfizer Inc. Billable units per 11-digit NDC: 1000.
• 00409-2634-05 Hydromorphone HCl, Pfizer Inc. Billable units per 11-digit NDC: 5000.
• 00409-2634-50 Hydromorphone HCl, Pfizer Inc. Billable units per 11-digit NDC: 5000.
• 00409-3365-10 Hydromorphone HCl, Pfizer Inc. Billable units per 11-digit NDC: 200.
• 00409-4264-01 Hydromorphone HCl, Pfizer Inc. Billable units per 11-digit NDC: 50.
• 00641-2341-41 Hydromorphone HCl, Hikma Pharmaceuticals USA Inc.. Billable units per 11-digit NDC: 400.
• 00641-6151-25 Hydromorphone HCl, Hikma Pharmaceuticals USA Inc.. Billable units per 11-digit NDC: 500.
• 00641-6169-10 Hydromorphone HCl, Hikma Pharmaceuticals USA Inc.. Billable units per 11-digit NDC: 100.
• 00641-6206-10 Hydromorphone HCl, Hikma Pharmaceuticals USA Inc.. Billable units per 11-digit NDC: 50.
• 00641-6259-10 Hydromorphone HCl, Hikma Pharmaceuticals USA Inc.. Billable units per 11-digit NDC: 20.
• 00703-0018-01 Hydromorphone HCl, Teva Parenteral Medicines, Inc.. Billable units per 11-digit NDC: 5000.
• 00703-0110-03 Hydromorphone HCl, Teva Parenteral Medicines, Inc.. Billable units per 11-digit NDC: 1000.
• 00703-0113-03 Hydromorphone HCl, Teva Parenteral Medicines, Inc.. Billable units per 11-digit NDC: 5000.
• 63323-0851-10 Hydromorphone HCl, FreseniUS Kabi USA, LLC. Billable units per 11-digit NDC: 1000.
• 63323-0851-15 Hydromorphone HCl, FreseniUS Kabi USA, LLC. Billable units per 11-digit NDC: 5000.
• 63323-0851-50 Hydromorphone HCl, FreseniUS Kabi USA, LLC. Billable units per 11-digit NDC: 5000.
• 63323-0852-25 Hydromorphone HCl, FreseniUS Kabi USA, LLC. Billable units per 11-digit NDC: 250.
• 63323-0853-25 Hydromorphone HCl, FreseniUS Kabi USA, LLC. Billable units per 11-digit NDC: 500.
• 63323-0854-10 Hydromorphone HCl, FreseniUS Kabi USA, LLC. Billable units per 11-digit NDC: 1000.
• 76045-0009-06 Dilaudid, FreseniUS Kabi USA, LLC. Billable units per 11-digit NDC: 50.
• 76045-0009-11 Dilaudid, FreseniUS Kabi USA, LLC. Billable units per 11-digit NDC: 100.
• 76045-0010-11 Dilaudid, FreseniUS Kabi USA, LLC. Billable units per 11-digit NDC: 200.
• 76045-0121-11 Hydromorphone HCl, FreseniUS Kabi USA, LLC. Billable units per 11-digit NDC: 20.

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