ACETAZOLAMIDE J Code: J1120

Drug & Product Overview

HCPCS Descriptor Injection, acetazolamide sodium, up to 500 mg

HCPCS Added Date January 1, 1982

Manufacturer Multiple Manufacturers

Route of Administration Intravenous

Generic Status Multi-Source; Generic

Dosage Type Single-Dose

Dosage Form Injection, Powder, For Solution | Injection, Powder, Lyophilized, For Solution

About ACETAZOLAMIDE

Acetazolamide is a medication aligned to the HCPCS J Code: J1120 for billing, pricing, and reimbursement purposes in the United States. It is an Ophthalmology drug administered via the intravenous route and manufactured by multiple companies.

Manufacturers, reach out to us to add more information.

NDC Code Information

Based on publicly available CMS files. Showing 5 of 7 NDCs — log in for the full crosswalk.

NDC Code	Drug	Manufacturer	Billing Units / Pkg	Package Size
00143-9006-01	AcetaZOLAMIDE	Hikma Pharmaceuticals USA Inc.	1	500 MG
23155-0313-31	Acetazolamide	Heritage Pharmaceuticals Inc. d/b/a Avet Pharmaceuticals Inc.	1	500 MG / 5 ML
25021-0839-20	Acetazolamide	Sagent Pharmaceuticals	1	500 MG / 5 ML
39822-0190-01	Acetazolamide	XGen Pharmaceuticals DJB, Inc.	1	500 MG / 5 ML
67457-0853-50	Acetazolamide	Mylan Institutional LLC	1	500 MG / 5 ML
•••••-••••-•• Log in to view	ACETAZOLAMIDE
	ACETAZOLAMIDE

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ACETAZOLAMIDE Pricing & Reimbursement

J1120 Private Payer Reimbursement

$25.33 / HCPCS unit as of Jan 2026

National median reimbursement across major commercial payers.

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Historical Graphing and Billing Calculator

per HCPCS unit

As of Q3 2026

ACETAZOLAMIDE CPT Administration Codes

CPT Code	Description
96374	Therapeutic, prophylactic, or diagnostic injection (specify substance or drug), IV push, single, or initial substance/drug

JW / JZ modifiers apply

CMS has identified Acetazolamide (J1120) as a HCPCS code with single-dose containers. Therefore, the JW/JZ wastage modifiers could be required for billing purposes. Wastage billing guide →

ACETAZOLAMIDE Medically Unlikely Edits (MUE)

The most billing units of J1120 Medicare will pay for one patient in one day, as published by CMS. 1 unit = 500 mg.

Practitioner Office & Hospital Outpatient

2 units / day

= 1,000 mg per day

MAI 3 · Date of Service Edit: Clinical. Per-day limit based on clinical expectations; excess units are denied but may be appealed with documentation of medical necessity. See all MUE limits →

ACETAZOLAMIDE Clinical Information

Indications and drug classification.

Treated Diseases & Conditions

This list of indications is not exhaustive and may be subject to errors. The information on BuyandBill.com is intended for informational purposes only and should not be used for medical advice.

Acute angle-closure (acute congestive, closed-angle) glaucoma Acute angle-closure (congestive, closed-angle) glaucoma Acute angle-closure glaucoma Acute angle-closure glaucoma (preoperative) Centrencephalic epilepsies Centrencephalic epilepsies (petit mal, unlocalized seizures) Chronic simple (open-angle) glaucoma Drug-induced edema Edema due to congestive heart failure Epilepsy (centrencephalic epilepsies: petit mal, unlocalized seizures) Secondary glaucoma acute angle-closure glaucoma (preoperative) centrencephalic epilepsies chronic simple (open-angle) glaucoma drug-induced edema edema due to congestive heart failure secondary glaucoma

Show all 17 conditions Show fewer

Drug Class

Carbonic Anhydrase Inhibitor [EPC]Carbonic Anhydrase Inhibitors [MoA]Sulfonamides [CS]

Frequently Asked Questions

Is there an available Acetazolamide billing and coding guide?

We have not yet identified a manufacturer source of Acetazolamide billing and coding information.

Are there any available Acetazolamide patient assistance programs?

Our team did not identify a source for Acetazolamide patient assistance information. Please reach out to our team if you feel that this is a mistake.

Where can I find Acetazolamide prescribing information?

Our team is still working to identify a prescribing information source for ACETAZOLAMIDE

Where can I find Acetazolamide side effect information?

Our team has not yet identified a source of side effects information for ACETAZOLAMIDE. Please check back in a few weeks.

Does billing ACETAZOLAMIDE require JZ/JW wastage modifiers?

CMS has identified ACETAZOLAMIDE(J1120) as a HCPCS code with single-dose containers. Therefore, the JW/JZ wastage modifiers could be required for billing purposes. See CMS guidelines on use of the JZ and JW wastage modifiers below.

About BuyandBill.com:

The BuyandBill.com team is dedicated to delivering high-quality coding and billing information for office-administered drugs. We continuously research HCPCS-coded medications to expand our resources and ensure data accuracy. Manufacturers: click here to sponsor your medication, and we will ensure the most accurate and detailed information is displayed.