Home Drug Codes J Codes J0400 · ARIPIPRAZOLE
Updated July 1st, 2026

ARIPIPRAZOLE J Code: J0400

Injection, aripiprazole, intramuscular, 0.25 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, aripiprazole, intramuscular, 0.25 mg
HCPCS Added Date January 1, 2008
Route of Administration Intramuscular
Generic Status Single-Source; Branded

About ARIPIPRAZOLE

Aripiprazole is a medication aligned to the HCPCS J Code: J0400 for billing, pricing, and reimbursement purposes in the United States. It is a Psychiatric drug administered via the intramuscular route.

Manufacturers, reach out to us to add more information.

NDC Code Information

No NDC packages are aligned to J0400 in publicly available CMS files.

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

J0400 Private Payer Reimbursement
$0.59 / HCPCS unit as of Jan 2026

National median reimbursement across major commercial payers.

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UnitedHealthcare, BlueCross BlueShield, Aetna, Cigna

ARIPIPRAZOLE 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 Aripiprazole (J0400) on its list of HCPCS pertaining to single-dose containers. Per CMS guidelines, the JZ/JW wastage modifiers may not apply when billing J0400. Wastage billing guide →

ARIPIPRAZOLE Medically Unlikely Edits (MUE)

The most billing units of J0400 Medicare will pay for one patient in one day, as published by CMS. 1 unit = 0.25 mg. The limit is different in the office and the hospital. Use the one for your setting.

Practitioner Office
39 units / day
= 9.75 mg per day
Hospital Outpatient
120 units / day
= 30 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 →

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 Aripiprazole billing and coding guide?
Our team has not identified a manufacturer-published source of billing and coding information for Aripiprazole. Please reach out to us if this is a mistake.
Are there any available Aripiprazole patient assistance programs?
Our team has not identified a source of patient assistance information for Aripiprazole. Please reach out to us if this is a mistake.
Where can I find Aripiprazole prescribing information?
No available source of prescribing information for Aripiprazole
Where can I find Aripiprazole side effect information?
A link for Aripiprazole side effect information is not available.
Does billing Aripiprazole require JZ/JW wastage modifiers?
CMS does not include ARIPIPRAZOLE (J0400) on its list of HCPCS pertaining to single-dose containers. Per CMS guidelines, the JZ/JW wastage modifiers may not apply when billing J0400. For more information, visit the link below.

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