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The claim qualifier is the one state Medicaid programs pair with this unit type; commercial payers may differ.
Official CMS crosswalk rows for this NDC, newest first.
| HCPCS | HCPCS dosage | Pkg size × qty | Units / item | Units / NDC | Crosswalk | Quarters |
|---|---|---|---|---|---|---|
| J0713 | 500 MG | 1 × 6 | 12 | 72 | ASP | Q1 2021 – Q4 2026 |
Medicare Part B payment limits for the crosswalked code(s).
J0713 · Q4 2026 · effective Oct 1, 2026 – Dec 31, 2026
$1.549per 500 MG
Official CMS ASP methodology (per CMS file)
Derived calculation 72 units × $1.549 = $111.53 per 11-digit NDC package (arithmetic only; not a payment determination).
Disclaimer. This application provides informational coding and reimbursement reference data. It does not constitute legal, clinical, coding, or billing advice. Codes, payment amounts, payer rules, and coverage policies can change. Verify all information with current CMS publications, the applicable payer, and your organization’s compliance policies before submitting a claim. CodeRx is not affiliated with or endorsed by CMS, FDA, Medicare, or any payer.