J0167 HCPCS Level II Code: Injection, epinephrine (hospira), not therapeutically equivalent to j0165, 0.1 mg
Coding at a Glance
- Drug products
- 3 NDC products
Medicare Coverage & Payment
- CMS short descriptor: Inj epinephrine (hospira)
- 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, 2025Added to the code setInjection, epinephrine (hospira), 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%): $1.42
00409-4933-01 — Epinephrine HCl — Pfizer Inc (size 10 × qty 10 (0.1 MG per billing unit))
00409-4933-10 — Epinephrine HCl — Pfizer Inc (size 10 × 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, J0166 — Injection, epinephrine (bpi), 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 J0167 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)
- J0120 — Injection, tetracycline, up to 250 mg[Sibling]
- J0121 — Injection, omadacycline, 1 mg[Sibling]
- J0122 — Injection, eravacycline, 1 mg[Sibling]
- J0129 — Injection, abatacept, 10 mg (code may be used for medicare when drug administered under the direct supervision of a physician, not for use when drug is self administered)[Sibling]
- J0130 — Injection abciximab, 10 mg[Sibling]
- J0131 — Injection, acetaminophen, not otherwise specified,10 mg[Sibling]
- J0132 — Injection, acetylcysteine, 100 mg[Sibling]
- J0133 — Injection, acyclovir, 5 mg[Sibling]
- and 28 more
Change history
- July 1, 2025 — Added to the code set [Change history]
Nearest Codes in This Family
Official HCPCS Level II classifications closest to J0167 in its code family, with their registry titles.
- J0162 — Injection, epinephrine (fresenius), not therapeutically equivalent to j0165, 0.1 mg
- J0163 — Injection, epinephrine in sodium chloride (endo), 0.1 mg
- J0164 — Injection, epinephrine in sodium chloride (baxter), 0.1 mg
- J0165 — Injection, epinephrine, not otherwise specified, 0.1 mg
- J0166 — Injection, epinephrine (bpi), 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
- J0171 — Injection, adrenalin, epinephrine, 0.1 mg
- J0172 — Injection, aducanumab-avwa, 2 mg
- J0173 — Injection, epinephrine (belcher), not therapeutically equivalent to j0171, 0.1 mg