BENZTROPINE MESYLATE J Code: J0515
Injection, benztropine mesylate, per 1 mg
Q4 2026 Medicare Payment Limit for J0515, effective October 1, 2026: $12.262 per HCPCS billing unit, down 9.4% from $13.537. From CMS's final file.
Drug & Product Overview
About BENZTROPINE MESYLATE
Benztropine Mesylate is a medication aligned to the HCPCS J Code: J0515 for billing, pricing, and reimbursement purposes in the United States. Classified under Neurology, it is administered via the intramuscular or intravenous routes and manufactured by multiple companies.
According to CMS Drug Use Information: Benztropine is used to treat symptoms of Parkinson's disease or involuntary movements due to the side effects of certain psychiatric drugs (antipsychotics such as chlorpromazine/haloperidol). Benztropine belongs to a class of medication called anticholinergics that work by blocking a certain natural substance (acetylcholine). This helps decrease muscle stiffness, sweating, and the production of saliva, and helps improve walking ability in people with Parkinson's disease. Anticholinergics can stop severe muscle spasms of the back, neck, and eyes that are sometimes caused by psychiatric drugs. It can also decrease other side effects such as muscle stiffness/rigidity (extrapyramidal signs-EPS). It is not helpful in treating movement problems caused by tardive dyskinesia and may worsen them. Benztropine should not be used by children younger than 3 years.
Disclaimer: This is a summary and does not contain all possible information about this product. For complete information about this product or your specific health needs, ask your healthcare professional.
NDC Code Information
Based on publicly available CMS files. Showing 3 of 6 NDCs — log in for the full crosswalk.
| NDC Code | Drug | Manufacturer | Billing Units / Pkg | Package Size |
|---|---|---|---|---|
| 00143-9233-05 | Benztropine Mesylate | Hikma Pharmaceuticals USA Inc. | 10 | 2 MG / 2 ML |
| 00143-9729-05 | Benztropine Mesylate | Hikma Pharmaceuticals USA Inc. | 10 | 2 MG / 2 ML |
| 68382-0860-10 | Benztropine Mesylate | Zydus Pharmaceuticals USA Inc. | 10 | 2 MG / 2 ML |
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BENZTROPINE MESYLATE Pricing & Reimbursement
National median reimbursement across major commercial payers.
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Login to use the calculator →BENZTROPINE MESYLATE 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 |
| 96374 | Therapeutic, prophylactic, or diagnostic injection (specify substance or drug), IV push, single, or initial substance/drug |
CMS has identified Benztropine Mesylate (J0515) as a HCPCS code with single-dose containers. Therefore, the JW/JZ wastage modifiers could be required for billing purposes. Wastage billing guide →
BENZTROPINE MESYLATE Medically Unlikely Edits (MUE)
The most billing units of J0515 Medicare will pay for one patient in one day, as published by CMS. 1 unit = 1 mg. The limit is different in the office and the hospital. Use the one for your 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 →
BENZTROPINE MESYLATE Clinical Information
Indications and drug classification.
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.
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Frequently Asked Questions
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