Home Drug Codes J Codes J1320 · AMITRIPTYLINE HCL
Updated July 1st, 2026

AMITRIPTYLINE HCL J Code: J1320

Injection, amitriptyline hcl, up to 20 mg

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Medicare Payment Limit ?
Not published
CMS publishes none for Q3 2026
APC Payment Limit ?
Not published
CMS publishes none for Q3 2026
ASP ?
No current ASP
Not available for Q3 2026
WAC · AWP ?
$•••.••
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NDCs Crosswalked ?
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Drug & Product Overview

HCPCS Descriptor Injection, amitriptyline hcl, up to 20 mg
HCPCS Added Date January 1, 1982
Route of Administration Intramuscular
Generic Status Single-Source; Branded

About AMITRIPTYLINE HCL

Amitriptyline HCL is a medication aligned to the HCPCS J Code: J1320 for billing, pricing, and reimbursement purposes in the United States. This Psychiatric medication is administered via the intramuscular route.

Manufacturers, reach out to us to add more information.

NDC Code Information

No NDC packages are aligned to J1320 in publicly available CMS files.

NDC Code Drug Manufacturer Billing Units / Pkg Package Size
No public NDC alignments
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AMITRIPTYLINE HCL Pricing & Reimbursement

J1320 Private Payer Reimbursement
$2.18 / HCPCS unit as of Jan 2026

National median reimbursement across major commercial payers.

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UnitedHealthcare, BlueCross BlueShield, Aetna, Cigna

AMITRIPTYLINE HCL CPT Administration Codes

The below list of CPT codes is intended for informational purposes only and may not be exhaustive. CPT® codes and descriptions are copyright American Medical Association (AMA). All rights reserved.

CPT Code Description
96372 Therapeutic, prophylactic, or diagnostic injection (specify substance or drug); intramuscular
Not on the CMS JW / JZ list

CMS does not include Amitriptyline HCL (J1320) on its list of HCPCS pertaining to single-dose containers. Per CMS guidelines, the JZ/JW wastage modifiers may not apply when billing J1320. Wastage billing guide →

AMITRIPTYLINE HCL Medically Unlikely Edits (MUE)

The most billing units of J1320 Medicare will pay for one patient in one day, as published by CMS. 1 unit = 20 mg.

Practitioner Office & Hospital Outpatient
0 units / day
Not payable in this setting

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 →

mg Enter a dose to see how many billing units it is and whether it is under the limit.

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Frequently Asked Questions

Is there an available Amitriptyline HCL billing and coding guide?
Our team has not identified a manufacturer-published source of billing and coding information for Amitriptyline HCL. Please reach out to us if this is a mistake.
Are there any available Amitriptyline HCL patient assistance programs?
Our team has not identified a source of patient assistance information for Amitriptyline HCL. Please reach out to us if this is a mistake.
Where can I find Amitriptyline HCL prescribing information?
No available source of prescribing information for Amitriptyline HCL
Where can I find Amitriptyline HCL side effect information?
A link for Amitriptyline HCL side effect information is not available.
Does billing Amitriptyline HCL require JZ/JW wastage modifiers?
CMS does not include AMITRIPTYLINE HCL (J1320) on its list of HCPCS pertaining to single-dose containers. Per CMS guidelines, the JZ/JW wastage modifiers may not apply when billing J1320. For more information, visit the link below.

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