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J0402 HCPCS Level II Code: Injection, aripiprazole (abilify asimtufii), 1 mg

Medicare Coverage & Payment

  • CMS short descriptor: Inj, abilify asimtufii, 1 mg
  • Medicare coverage: Carrier judgment (CMS coverage code C)
  • Payment category: Drugs (pricing indicator 51)
  • BETOS: O1E — Other drugs
  • Last CMS action effective: January 1, 2024

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.

Code Overview

Injection, aripiprazole (abilify asimtufii), 1 mg is a HCPCS Level II code (J0402). CMS assigns coverage code C — Carrier judgment. Short description: Inj, abilify asimtufii, 1 mg.

Summary composed by MedCoder from this code's official HCPCS Level II record. The tabular instructional notes themselves appear verbatim below.

Change history

  • 2024-01-01
    Added to the code set
    Injection, aripiprazole (abilify asimtufii), 1 mg

Drug products (NDC)

CMS ASP NDC-HCPCS Crosswalk · 2026 Q3

Medicare Part B payment limit (ASP + 6%): $6.18

59148-0102-80 — Abilify Asimtufii — Otsuka America Pharmaceuticals Inc. (size 2.4 × qty 1 (1 MG per billing unit))

59148-0114-80 — Abilify Asimtufii — Otsuka America Pharmaceuticals Inc. (size 3.2 × qty 1 (1 MG per billing unit))

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 J0402 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 (15)

  • J0400 — Injection, aripiprazole, intramuscular, 0.25 mg [Sibling]
  • J0401 — Injection, aripiprazole (abilify maintena), 1 mg [Sibling]
  • J0456 — Injection, azithromycin, 500 mg [Sibling]
  • J0457 — Injection, aztreonam, 100 mg [Sibling]
  • J0458 — Injection, aztreonam/avibactam, 7.5 mg/2.5 mg (10 mg) [Sibling]
  • J0461 — Injection, atropine sulfate, 0.01 mg [Sibling]
  • J0462 — Injection, atropine sulfate, not therapeutically equivalent to j0461, 0.01 mg [Sibling]
  • J0463 — Injection, atropine sulfate (fresenius and therapeutically equivalent), 0.01 mg [Sibling]
  • and 7 more

Change history

  • 2024-01-01 — Added to the code set [Change history]

Nearest Codes in This Family

Official HCPCS Level II classifications closest to J0402 in its code family, with their registry titles.

  • J0400 — Injection, aripiprazole, intramuscular, 0.25 mg
  • J0401 — Injection, aripiprazole (abilify maintena), 1 mg
  • J0456 — Injection, azithromycin, 500 mg
  • J0457 — Injection, aztreonam, 100 mg
  • J0458 — Injection, aztreonam/avibactam, 7.5 mg/2.5 mg (10 mg)
  • J0461 — Injection, atropine sulfate, 0.01 mg
  • J0462 — Injection, atropine sulfate, not therapeutically equivalent to j0461, 0.01 mg
  • J0463 — Injection, atropine sulfate (fresenius and therapeutically equivalent), 0.01 mg
  • J0470 — Injection, dimercaprol, per 100 mg
  • J0475 — Injection, baclofen, 10 mg