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J0166 HCPCS Level II Code: Injection, epinephrine (bpi), not therapeutically equivalent to j0165, 0.1 mg

Coding at a Glance

Drug products
7 NDC products

Medicare Coverage & Payment

  • CMS short descriptor: Inj epinephrine (bpi)
  • Medicare coverage: Special coverage instructions apply (CMS coverage code D)
  • Payment category: Drugs (pricing indicator 51)
  • BETOS: O1E — Other drugs
  • Last CMS action effective: July 1, 2025

Source: CMS HCPCS Level II release. Coverage codes indicate how Medicare treats the code, not whether a specific claim will be paid; payer policy and documentation still govern.

Change history

  • July 1, 2025
    Added to the code set
    Injection, epinephrine (bpi), not therapeutically equivalent to j0165, 0.1 mg

Drug products (NDC)

CMS ASP NDC-HCPCS Crosswalk · 2026 Q3

Medicare Part B payment limit (ASP + 6%): $0.67

00404-9857-01 Epinephrine HCl — Henry Schein Inc. (size 1 × qty 1 (0.1 MG per billing unit))

50090-3039-01 Epinephrine HCl — A-S Medication Solutions (size 1 × qty 1 (0.1 MG per billing unit))

50090-3039-02 Epinephrine HCl — A-S Medication Solutions (size 1 × qty 10 (0.1 MG per billing unit))

63323-0696-25 Epinephrine HCl — FreseniUS Kabi USA, LLC (size 1 × qty 25 (0.1 MG per billing unit))

68462-0760-10 Epinephrine HCl — Glenmark Pharmaceuticals Inc., USA (size 10 × qty 1 (0.1 MG per billing unit))

68462-0761-30 Epinephrine — Glenmark Pharmaceuticals Inc., Usa (size 30 × qty 1 (0.1 MG per billing unit))

68462-0933-10 Epinephrine HCl — Glenmark Pharmaceuticals Inc., USA (size 1 × qty 10 (0.1 MG per billing unit))

Related Codes

Same drug, other billing codes

CMS's ASP crosswalk lists these HCPCS codes for the same drug.

J0162 — Injection, epinephrine (fresenius), not therapeutically equivalent to j0165, 0.1 mg, J0165 — Injection, epinephrine, not otherwise specified, 0.1 mg, J0167 — Injection, epinephrine (hospira), not therapeutically equivalent to j0165, 0.1 mg, J0168 — Injection, epinephrine (international medication systems), not therapeutically equivalent to j0165, 0.1 mg, J0169 — Injection, epinephrine (adrenalin), not therapeutically equivalent to j0165, 0.1 mg

From the CMS ASP NDC-HCPCS Crosswalk and Part B Payment Limit File. Payment limits apply per HCPCS billing code, not per package.

Contextual Map

Every relationship of J0166 in one view: hierarchy, official tabular instructions in both directions, clinical classification, risk adjustment, MS-DRG participation, index terms and change history — each edge carrying the CMS source it derives from.

Nearest codes (36)

Change history

  • July 1, 2025 — Added to the code set [Change history]

Nearest Codes in This Family

Official HCPCS Level II classifications closest to J0166 in its code family, with their registry titles.