J3475

Code

J3475

Description

Injection, magnesium sulfate, per 500 mg

CMS HCPCS quarterly update

• 00264-4204-52 Magnesium Sulfate, B. Braun Medical Inc.. Billable units per 11-digit NDC: 96.
• 00264-4205-52 Magnesium Sulfate, B. Braun Medical Inc.. Billable units per 11-digit NDC: 192.
• 00264-4206-54 Magnesium Sulfate, B. Braun Medical Inc.. Billable units per 11-digit NDC: 192.
• 00264-4400-54 Magnesium Sulfate-Dextrose, B. Braun Medical Inc.. Billable units per 11-digit NDC: 48.
• 00338-1708-40 Magnesium Sulfate, Baxter Healthcare Corporation. Billable units per 11-digit NDC: 160.
• 00338-1709-40 Magnesium Sulfate-Dextrose, Baxter Healthcare Corporation. Billable units per 11-digit NDC: 80.
• 00338-1715-40 Magnesium Sulfate, Baxter Healthcare Corporation. Billable units per 11-digit NDC: 320.
• 00338-1719-40 Magnesium Sulfate, Baxter Healthcare Corporation. Billable units per 11-digit NDC: 320.
• 00338-6353-40 Magnesium Sulfate, Baxter Healthcare Corporation. Billable units per 11-digit NDC: 240.
• 00404-9902-20 Magnesium Sulfate, Henry Schein Inc.. Billable units per 11-digit NDC: 20.
• 00404-9903-10 Magnesium Sulfate, Henry Schein Inc.. Billable units per 11-digit NDC: 10.
• 00404-9904-02 Magnesium Sulfate, Henry Schein Inc.. Billable units per 11-digit NDC: 2.
• 00409-1754-10 Magnesium Sulfate, Pfizer Inc. Billable units per 11-digit NDC: 100.
• 00409-2050-20 Magnesium Sulfate, Pfizer Inc. Billable units per 11-digit NDC: 800.
• 00409-2168-77 Magnesium Sulfate, Pfizer Inc. Billable units per 11-digit NDC: 500.
• 00409-3164-12 Magnesium Sulfate, Pfizer Inc. Billable units per 11-digit NDC: 960.
• 00409-6727-23 Magnesium Sulfate in 5% Dextrose, Pfizer Inc. Billable units per 11-digit NDC: 48.
• 00409-6729-23 Magnesium Sulfate, Pfizer Inc. Billable units per 11-digit NDC: 192.
• 00409-6729-24 Magnesium Sulfate, Pfizer Inc. Billable units per 11-digit NDC: 96.
• 25021-0612-81 Magnesium Sulfate, Sagent Pharmaceuticals. Billable units per 11-digit NDC: 40.
• 25021-0612-82 Magnesium Sulfate, Sagent Pharmaceuticals. Billable units per 11-digit NDC: 80.
• 44567-0410-24 Magnesium Sulfate-Dextrose, WG Critical Care, LLC. Billable units per 11-digit NDC: 48.
• 44567-0420-24 Magnesium Sulfate, WG Critical Care, LLC. Billable units per 11-digit NDC: 96.
• 44567-0421-24 Magnesium Sulfate, WG Critical Care, LLC. Billable units per 11-digit NDC: 192.
• 44567-0424-24 Magnesium Sulfate, WG Critical Care, LLC. Billable units per 11-digit NDC: 192.
• 47335-0992-01 Magnesium Sulfate, Sun Pharmaceutical Global FZE.. Billable units per 11-digit NDC: 96.
• 47335-0992-02 Magnesium Sulfate, Sun Pharmaceutical Global FZE.. Billable units per 11-digit NDC: 192.
• 51662-1235-01 Magnesium Sulfate, HF Acquisition Co. LLC, DBA HealthFirst. Billable units per 11-digit NDC: 10.
• 51662-1235-03 Magnesium Sulfate, HF Acquisition Co. LLC, DBA HealthFirst. Billable units per 11-digit NDC: 100.
• 51662-1352-01 Magnesium Sulfate, HF Acquisition Co. LLC, DBA HealthFirst. Billable units per 11-digit NDC: 4.
• 51662-1352-03 Magnesium Sulfate, HF Acquisition Co. LLC, DBA HealthFirst. Billable units per 11-digit NDC: 96.
• 51662-1390-01 Magnesium Sulfate, HF Acquisition Co. LLC, DBA HealthFirst. Billable units per 11-digit NDC: 2.
• 51662-1390-03 Magnesium Sulfate, HF Acquisition Co. LLC, DBA HealthFirst. Billable units per 11-digit NDC: 50.
• 51662-1451-01 Magnesium Sulfate, HF Acquisition Co. LLC, DBA HealthFirst. Billable units per 11-digit NDC: 10.
• 51754-1000-04 Magnesium Sulfate, Exela Pharma Sciences, LLC. Billable units per 11-digit NDC: 250.
• 63323-0064-03 Magnesium Sulfate, FreseniUS Kabi USA, LLC. Billable units per 11-digit NDC: 50.
• 63323-0064-11 Magnesium Sulfate, FreseniUS Kabi USA, LLC. Billable units per 11-digit NDC: 250.
• 63323-0064-23 Magnesium Sulfate, FreseniUS Kabi USA, LLC. Billable units per 11-digit NDC: 50.
• 63323-0064-43 Magnesium Sulfate, FreseniUS Kabi USA, LLC. Billable units per 11-digit NDC: 50.
• 63323-0106-01 Magnesium Sulfate, FreseniUS Kabi USA, LLC. Billable units per 11-digit NDC: 192.
• 63323-0106-05 Magnesium Sulfate, FreseniUS Kabi USA, LLC. Billable units per 11-digit NDC: 96.
• 63323-0106-10 Magnesium Sulfate, FreseniUS Kabi USA, LLC. Billable units per 11-digit NDC: 960.
• 63323-0106-15 Magnesium Sulfate, FreseniUS Kabi USA, LLC. Billable units per 11-digit NDC: 960.
• 63323-0106-26 Magnesium Sulfate, FreseniUS Kabi USA, LLC. Billable units per 11-digit NDC: 96.
• 63323-0107-05 Magnesium Sulfate, FreseniUS Kabi USA, LLC. Billable units per 11-digit NDC: 192.
• 63323-0108-26 Magnesium Sulfate-Dextrose, FreseniUS Kabi USA, LLC. Billable units per 11-digit NDC: 48.
• 63323-0642-20 Magnesium Sulfate, FreseniUS Kabi USA, LLC. Billable units per 11-digit NDC: 500.
• 63323-0642-50 Magnesium Sulfate, FreseniUS Kabi USA, LLC. Billable units per 11-digit NDC: 1250.
• 67457-0567-00 Magnesium Sulfate-Dextrose, Mylan Institutional LLC. Billable units per 11-digit NDC: 48.
• 70121-1719-02 Magnesium Sulfate, Amneal Pharmaceuticals, LLC. Billable units per 11-digit NDC: 60.
• 70121-1719-09 Magnesium Sulfate, Amneal Pharmaceuticals, LLC. Billable units per 11-digit NDC: 96.
• 70121-1720-03 Magnesium Sulfate, Amneal Pharmaceuticals, LLC. Billable units per 11-digit NDC: 96.
• 70121-1720-09 Magnesium Sulfate, Amneal Pharmaceuticals, LLC. Billable units per 11-digit NDC: 192.
• 70860-0501-82 Magnesium Sulfate, Athenex Pharmaceutical Division, LLC. Billable units per 11-digit NDC: 192.
• 70860-0502-81 Magnesium Sulfate, Athenex Pharmaceutical Division, LLC. Billable units per 11-digit NDC: 192.
• 72572-0511-40 Magnesium Sulfate, Civica, Inc.. Billable units per 11-digit NDC: 160.
• 83634-0500-81 Magnesium Sulfate, Avenacy Inc.. Billable units per 11-digit NDC: 96.
• 83634-0500-82 Magnesium Sulfate, Avenacy Inc.. Billable units per 11-digit NDC: 192.
• 83634-0501-81 Magnesium Sulfate, Avenacy Inc.. Billable units per 11-digit NDC: 192.
• 83634-0500-83 Magnesium Sulfate, Avenacy Inc.. Billable units per 11-digit NDC: 120.

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