J1580

Code

J1580

Description

Injection, garamycin, gentamicin, up to 80 mg

CMS HCPCS quarterly update

• 00143-9128-25 Gentamicin Sulfate, Hikma Pharmaceuticals USA Inc.. Billable units per 11-digit NDC: 25.
• 00338-0503-48 Gentamicin Sulfate, Baxter Healthcare Corporation. Billable units per 11-digit NDC: 1.
• 00338-0505-48 Gentamicin Sulfate, Baxter Healthcare Corporation. Billable units per 11-digit NDC: 2.
• 00338-0507-41 Gentamicin Sulfate, Baxter Healthcare Corporation. Billable units per 11-digit NDC: 1.
• 00338-0507-48 Gentamicin Sulfate, Baxter Healthcare Corporation. Billable units per 11-digit NDC: 2.
• 00338-0509-41 Gentamicin Sulfate, Baxter Healthcare Corporation. Billable units per 11-digit NDC: 1.
• 00338-0511-41 Gentamicin Sulfate, Baxter Healthcare Corporation. Billable units per 11-digit NDC: 2.
• 00404-9865-02 Gentamicin Sulfate, Henry Schein Inc.. Billable units per 11-digit NDC: 1.
• 00404-9866-20 Gentamicin Sulfate, Henry Schein Inc.. Billable units per 11-digit NDC: 10.
• 00409-1207-03 Gentamicin Sulfate, Pfizer Inc. Billable units per 11-digit NDC: 25.
• 51662-1508-03 Gentamicin Sulfate, HF Acquisition Co. LLC, DBA HealthFirst. Billable units per 11-digit NDC: 250.
• 51662-1597-03 Gentamicin Sulfate, HF Acquisition Co. LLC, DBA HealthFirst. Billable units per 11-digit NDC: 25.
• 55150-0401-25 Gentamicin Sulfate, Eugia US LLC. Billable units per 11-digit NDC: 25.
• 55150-0402-25 Gentamicin Sulfate, Eugia US LLC. Billable units per 11-digit NDC: 25.
• 55150-0403-25 Gentamicin Sulfate, Eugia US LLC. Billable units per 11-digit NDC: 250.
• 63323-0010-02 Gentamicin Sulfate, FreseniUS Kabi USA, LLC. Billable units per 11-digit NDC: 25.
• 63323-0010-20 Gentamicin Sulfate, FreseniUS Kabi USA, LLC. Billable units per 11-digit NDC: 250.
• 63323-0010-94 Gentamicin Sulfate, FreseniUS Kabi USA, LLC. Billable units per 11-digit NDC: 25.
• 63323-0010-95 Gentamicin Sulfate, FreseniUS Kabi USA, LLC. Billable units per 11-digit NDC: 250.
• 63323-0173-02 Gentamicin Sulfate, FreseniUS Kabi USA, LLC. Billable units per 11-digit NDC: 25.
• 63323-0173-94 Gentamicin Sulfate, FreseniUS Kabi USA, LLC. Billable units per 11-digit NDC: 25.

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