J1265

Code

J1265

Description

Injection, dopamine hcl, 40 mg

CMS HCPCS quarterly update

• 00143-9252-25 Dopamine, Hikma Pharmaceuticals USA Inc.. Billable units per 11-digit NDC: 125.
• 00143-9254-25 Dopamine, Hikma Pharmaceuticals USA Inc.. Billable units per 11-digit NDC: 250.
• 00338-1005-02 Dopamine In D5W, Baxter Healthcare Corporation. Billable units per 11-digit NDC: 90.
• 00338-1005-03 Dopamine In D5W, Baxter Healthcare Corporation. Billable units per 11-digit NDC: 120.
• 00338-1007-02 Dopamine In D5W, Baxter Healthcare Corporation. Billable units per 11-digit NDC: 180.
• 00338-1007-03 Dopamine In D5W, Baxter Healthcare Corporation. Billable units per 11-digit NDC: 240.
• 00338-1009-02 Dopamine In D5W, Baxter Healthcare Corporation. Billable units per 11-digit NDC: 360.
• 00404-9981-10 Dopamine, Henry Schein Inc.. Billable units per 11-digit NDC: 10.
• 00404-9982-05 Dopamine, Henry Schein Inc.. Billable units per 11-digit NDC: 5.
• 00409-0042-12 Dopamine in D5W, Pfizer Inc. Billable units per 11-digit NDC: 120.
• 00409-1858-12 Dopamine in D5W, Pfizer Inc. Billable units per 11-digit NDC: 240.
• 00409-5820-01 Dopamine, Pfizer Inc. Billable units per 11-digit NDC: 125.
• 00409-7809-22 Dopamine, Pfizer Inc. Billable units per 11-digit NDC: 120.
• 00409-7809-24 Dopamine, Pfizer Inc. Billable units per 11-digit NDC: 240.
• 00409-7810-22 Dopamine, Pfizer Inc. Billable units per 11-digit NDC: 240.
• 00409-9104-20 Dopamine, Pfizer Inc. Billable units per 11-digit NDC: 250.
• 51662-1220-01 Dopamine, HF Acquisition Co. LLC, DBA HealthFirst. Billable units per 11-digit NDC: 10.
• 51662-1220-03 Dopamine, HF Acquisition Co. LLC, DBA HealthFirst. Billable units per 11-digit NDC: 250.
• 51662-1291-01 Dopamine, HF Acquisition Co. LLC, DBA HealthFirst. Billable units per 11-digit NDC: 5.
• 51662-1291-03 Dopamine, HF Acquisition Co. LLC, DBA HealthFirst. Billable units per 11-digit NDC: 125.
• 51662-1316-01 Dopamine in D5W, HF Acquisition Co. LLC, DBA HealthFirst. Billable units per 11-digit NDC: 10.
• 51662-1316-03 Dopamine in D5W, HF Acquisition Co. LLC, DBA HealthFirst. Billable units per 11-digit NDC: 120.
• 51662-1458-01 Dopamine in D5W, HF Acquisition Co. LLC, DBA HealthFirst. Billable units per 11-digit NDC: 20.
• 51662-1489-01 Dopamine, HF Acquisition Co. LLC, DBA HealthFirst. Billable units per 11-digit NDC: 5.
• 51662-1489-03 Dopamine, HF Acquisition Co. LLC, DBA HealthFirst. Billable units per 11-digit NDC: 125.
• 51662-1490-01 Dopamine, HF Acquisition Co. LLC, DBA HealthFirst. Billable units per 11-digit NDC: 10.

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