J2704

Code

J2704

Description

Injection, propofol, 10 mg

CMS HCPCS quarterly update

• 00069-0209-10 Propofol, Pfizer Inc. Billable units per 11-digit NDC: 200.
• 00069-0234-20 Propofol, Pfizer Inc. Billable units per 11-digit NDC: 1000.
• 00069-0248-10 Propofol, Pfizer Inc. Billable units per 11-digit NDC: 1000.
• 00409-4699-24 Propofol, Pfizer Inc. Billable units per 11-digit NDC: 1000.
• 00409-4699-33 Propofol, Pfizer Inc. Billable units per 11-digit NDC: 1000.
• 00409-6010-25 Propofol, Pfizer Inc. Billable units per 11-digit NDC: 500.
• 00641-6194-10 Propofol, Hikma Pharmaceuticals USA Inc.. Billable units per 11-digit NDC: 200.
• 00641-6195-20 Propofol, Hikma Pharmaceuticals USA Inc.. Billable units per 11-digit NDC: 1000.
• 00641-6196-10 Propofol, Hikma Pharmaceuticals USA Inc.. Billable units per 11-digit NDC: 1000.
• 16714-0528-10 Propofol, Northstar RxLLC. Billable units per 11-digit NDC: 200.
• 16714-0528-20 Propofol, Northstar RxLLC. Billable units per 11-digit NDC: 400.
• 16714-0690-10 Propofol, Northstar RxLLC. Billable units per 11-digit NDC: 1000.
• 16714-0977-20 Propofol, Northstar RxLLC. Billable units per 11-digit NDC: 1000.
• 23155-0345-41 Propofol, Heritage Pharmaceuticals Inc.. Billable units per 11-digit NDC: 200.
• 23155-0345-42 Propofol, Heritage Pharmaceuticals Inc.. Billable units per 11-digit NDC: 1000.
• 23155-0345-43 Propofol, Heritage Pharmaceuticals Inc.. Billable units per 11-digit NDC: 1000.
• 23155-0345-44 Propofol, Heritage Pharmaceuticals Inc.. Billable units per 11-digit NDC: 400.
• 25021-0608-20 Propofol, Sagent Pharmaceuticals. Billable units per 11-digit NDC: 500.
• 25021-0608-50 Propofol, Sagent Pharmaceuticals. Billable units per 11-digit NDC: 1000.
• 25021-0608-51 Propofol, Sagent Pharmaceuticals. Billable units per 11-digit NDC: 1000.
• 43598-0265-25 Propofol, Dr. Reddy's Laboratories Inc.. Billable units per 11-digit NDC: 500.
• 43598-0265-58 Propofol, Dr. Reddy's Laboratories Inc.. Billable units per 11-digit NDC: 200.
• 43598-0548-21 Propofol, Dr. Reddy's Laboratories Inc.. Billable units per 11-digit NDC: 1000.
• 43598-0549-10 Propofol, Dr. Reddy's Laboratories Inc.. Billable units per 11-digit NDC: 1000.
• 51662-1470-01 Propofol, HF Acquisition Co. LLC, DBA HealthFirst. Billable units per 11-digit NDC: 100.
• 51662-1471-01 Propofol, HF Acquisition Co. LLC, DBA HealthFirst. Billable units per 11-digit NDC: 50.
• 63323-0269-10 Diprivan, FreseniUS Kabi USA, LLC. Billable units per 11-digit NDC: 100.
• 63323-0269-16 Diprivan, FreseniUS Kabi USA, LLC. Billable units per 11-digit NDC: 100.
• 63323-0269-29 Diprivan, FreseniUS Kabi USA, LLC. Billable units per 11-digit NDC: 200.
• 63323-0269-37 Diprivan, FreseniUS Kabi USA, LLC. Billable units per 11-digit NDC: 200.
• 63323-0269-50 Propofol, FreseniUS Kabi USA, LLC. Billable units per 11-digit NDC: 1000.
• 63323-0269-57 Propofol, FreseniUS Kabi USA, LLC. Billable units per 11-digit NDC: 1000.
• 63323-0269-59 Diprivan, FreseniUS Kabi USA, LLC. Billable units per 11-digit NDC: 1000.
• 63323-0269-65 Propofol, FreseniUS Kabi USA, LLC. Billable units per 11-digit NDC: 1000.
• 63323-0269-67 Propofol, FreseniUS Kabi USA, LLC. Billable units per 11-digit NDC: 1000.
• 63323-0269-69 Diprivan, FreseniUS Kabi USA, LLC. Billable units per 11-digit NDC: 1000.
• 63323-0269-70 Diprivan, FreseniUS Kabi USA, LLC. Billable units per 11-digit NDC: 200.
• 63323-0269-77 Diprivan, FreseniUS Kabi USA, LLC. Billable units per 11-digit NDC: 1000.
• 63323-0269-78 Propofol, FreseniUS Kabi USA, LLC. Billable units per 11-digit NDC: 1000.
• 63323-0269-94 Diprivan, FreseniUS Kabi USA, LLC. Billable units per 11-digit NDC: 200.
• 65219-0800-10 Diprivan, FreseniUS Kabi USA, LLC. Billable units per 11-digit NDC: 200.
• 71288-0729-21 Propofol, Meitheal Pharmaceuticals, Inc.. Billable units per 11-digit NDC: 200.
• 71288-0730-51 Propofol, Meitheal Pharmaceuticals, Inc.. Billable units per 11-digit NDC: 500.
• 71288-0731-53 Propofol, Meitheal Pharmaceuticals, Inc.. Billable units per 11-digit NDC: 1000.
• 72572-0590-10 Propofol, Civica, Inc.. Billable units per 11-digit NDC: 200.
• 72572-0601-20 Propofol, Civica, Inc.. Billable units per 11-digit NDC: 1000.
• 72572-0612-10 Propofol, Civica, Inc.. Billable units per 11-digit NDC: 1000.
• 80830-1188-07 Propofol, Amneal Pharmaceuticals, LLC. Billable units per 11-digit NDC: 200.
• 80830-2364-08 Propofol, Amneal Pharmaceuticals Private Limited. Billable units per 11-digit NDC: 1000.
• 80830-2365-07 Propofol, Amneal Pharmaceuticals, LLC. Billable units per 11-digit NDC: 1000.
• 83634-0603-20 Propofol, Avenacy Inc.. Billable units per 11-digit NDC: 400.
• 83634-0603-50 Propofol, Avenacy Inc.. Billable units per 11-digit NDC: 1000.
• 83634-0603-51 Propofol, Avenacy Inc.. Billable units per 11-digit NDC: 1000.

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