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J0490 HCPCS Level II Code: Injection, belimumab, 10 mg

Medicare Coverage & Payment

  • CMS short descriptor: Belimumab injection
  • Medicare coverage: Carrier judgment (CMS coverage code C)
  • Payment category: Drugs (pricing indicator 51)
  • BETOS: O1E — Other drugs
  • Last CMS action effective: January 1, 2012

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, belimumab, 10 mg is a HCPCS Level II code (J0490). CMS assigns coverage code C — Carrier judgment. Short description: Belimumab injection.

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

Change history

  • 2012-01-01
    Added to the code set
    Injection, belimumab, 10 mg

Drug products (NDC)

CMS ASP NDC-HCPCS Crosswalk · 2026 Q3

Medicare Part B payment limit (ASP + 6%): $58.30

49401-0101-01 — Benlysta — GlaxoSmithKline LLC (size 5 × qty 1 (10 MG per billing unit))

49401-0102-01 — Benlysta — GlaxoSmithKline LLC (size 20 × qty 1 (10 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 J0490 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]
  • J0402 — Injection, aripiprazole (abilify asimtufii), 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]
  • and 7 more

Change history

  • 2012-01-01 — Added to the code set [Change history]

Nearest Codes in This Family

Official HCPCS Level II classifications closest to J0490 in its code family, with their registry titles.

  • 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
  • J0476 — Injection, baclofen, 50 mcg for intrathecal trial
  • J0480 — Injection, basiliximab, 20 mg
  • J0485 — Injection, belatacept, 1 mg
  • J0491 — Injection, anifrolumab-fnia, 1 mg