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J1806 HCPCS Level II Code: Injection, esmolol hydrochloride (wg critical care), not therapeutically equivalent to j1805, 10 mg

Medicare Coverage & Payment

  • CMS short descriptor: Inj esmolol hcl wg crit care
  • Medicare coverage: Carrier judgment (CMS coverage code C)
  • Payment category: Drugs (pricing indicator 51)
  • BETOS: O1E — Other drugs
  • Last CMS action effective: July 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, esmolol hydrochloride (wg critical care), not therapeutically equivalent to j1805, 10 mg is a HCPCS Level II code (J1806). CMS assigns coverage code C — Carrier judgment. Short description: Inj esmolol hcl wg crit care.

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

Change history

  • 2023-07-01
    Added to the code set
    Injection, esmolol hydrochloride (wg critical care), not therapeutically equivalent to j1805, 10 mg

Drug products (NDC)

CMS ASP NDC-HCPCS Crosswalk · 2026 Q3

Medicare Part B payment limit (ASP + 6%): $0.20

44567-0811-10 — Esmolol HCl — WG Critical Care, LLC (size 250 × qty 10 (10 MG per billing unit))

44567-0812-10 — Esmolol HCl — WG Critical Care, LLC (size 100 × qty 10 (10 MG per billing unit))

Related Codes

Same drug, other billing codes

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

J1805 — Injection, esmolol hydrochloride, 10 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 J1806 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 (24)

  • J1800 — Injection, propranolol hcl, up to 1 mg [Sibling]
  • J1805 — Injection, esmolol hydrochloride, 10 mg [Sibling]
  • J1807 — Injection, ethacrynate sodium, 1 mg [Sibling]
  • J1808 — Injection, folic acid, 0.1 mg [Sibling]
  • J1809 — Injection, fosdenopterin, 0.1 mg [Sibling]
  • J1810 — Injection, droperidol and fentanyl citrate, up to 2 ml ampule [Sibling]
  • J1811 — Insulin (fiasp) for administration through dme (i.e., insulin pump) per 50 units [Sibling]
  • J1812 — Insulin (fiasp), per 5 units [Sibling]
  • and 16 more

Change history

  • 2023-07-01 — Added to the code set [Change history]

Nearest Codes in This Family

Official HCPCS Level II classifications closest to J1806 in its code family, with their registry titles.

  • J1800 — Injection, propranolol hcl, up to 1 mg
  • J1805 — Injection, esmolol hydrochloride, 10 mg
  • J1807 — Injection, ethacrynate sodium, 1 mg
  • J1808 — Injection, folic acid, 0.1 mg
  • J1809 — Injection, fosdenopterin, 0.1 mg
  • J1810 — Injection, droperidol and fentanyl citrate, up to 2 ml ampule
  • J1811 — Insulin (fiasp) for administration through dme (i.e., insulin pump) per 50 units
  • J1812 — Insulin (fiasp), per 5 units
  • J1813 — Insulin (lyumjev) for administration through dme (i.e., insulin pump) per 50 units
  • J1814 — Insulin (lyumjev), per 5 units