Home › Drug Codes › J Codes › J0595 · BUTORPHANOL TARTRATE
Updated July 1st, 2026

BUTORPHANOL TARTRATE J Code: J0595

Injection, butorphanol tartrate, 1 mg

Login to unlock all benchmarks

Q4 2026 Medicare Payment Limit for J0595, effective October 1, 2026: $11.316 per HCPCS billing unit, up 7.7% from $10.508. From CMS's final file.

?
Medicare Payment Limit ?
$10.508
/ HCPCS billing unit · Q3 2026
APC Payment Limit ?
Not published
CMS publishes none for Q3 2026
ASP ?
$•••.••
Login to view
WAC · AWP ?
$•••.••
Login to view
NDCs Crosswalked ?
3
View NDC crosswalk →

Drug & Product Overview

HCPCS Descriptor Injection, butorphanol tartrate, 1 mg
HCPCS Added Date January 1, 2004
Manufacturer Hospira
Route of Administration Intramuscular, Intravenous
Generic Status Single-Source; Branded
Dosage Type Single-Dose
Dosage Form Injection, Solution

About BUTORPHANOL TARTRATE

Butorphanol Tartrate is a medication aligned to the HCPCS J Code: J0595 for billing, pricing, and reimbursement purposes in the United States. It is an Opioid Analgesic drug administered via the intramuscular or intravenous routes and manufactured by Hospira.

According to CMS Drug Use Information: Drug uses not available

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. The list of NDCs below is not exhaustive.

NDC Code Drug Manufacturer Billing Units / Pkg Package Size
00409-1623-01 Butorphanol Tartrate Hospira, Inc. 10 1 MG / 1 ML
00409-1626-01 Butorphanol Tartrate Hospira, Inc. 20 2 MG / 1 ML
00409-1626-02 Butorphanol Tartrate Hospira, Inc. 40 4 MG / 2 ML
Login for the full NDC crosswalk View pricing, complete NDC-to-HCPCS alignments, and package details.
Login →

BUTORPHANOL TARTRATE Pricing & Reimbursement

J0595 Private Payer Reimbursement
$5.63 / HCPCS unit as of Jan 2026

National median reimbursement across major commercial payers.

Create an account on PayerPrice for more information →
UnitedHealthcare, BlueCross BlueShield, Aetna, Cigna

Historical Graphing and Billing Calculator

per HCPCS unit
As of Q3 2026

BUTORPHANOL TARTRATE 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
JW / JZ modifiers apply

CMS has identified Butorphanol Tartrate (J0595) as a HCPCS code with single-dose containers. Therefore, the JW/JZ wastage modifiers could be required for billing purposes. Wastage billing guide →

BUTORPHANOL TARTRATE Medically Unlikely Edits (MUE)

The most billing units of J0595 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.

Practitioner Office
8 units / day
= 8 mg per day
Hospital Outpatient
12 units / day
= 12 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.

BUTORPHANOL TARTRATE 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.

Pain Pain during labor Preoperative / pre-anesthetic medication Supplement to balanced anesthesia
Drug Class
Competitive Opioid Antagonists [MoA]Opioid Agonist/Antagonist [EPC]Partial Opioid Agonists [MoA]

Login for BuyandBill.com Analytics

Unlock deeper insights with BuyandBill’s Comparative Report!

  • Compare ASP, WAC, and AWP across drugs.
  • Visualize Drug Price Movement Over Time
  • Tailor reports to drug class, manufacturer, or HCPCS Code.
  • Compare Biosimilar and 505(b)(2) products.
Access Full Report →

Frequently Asked Questions

Is there an available Butorphanol Tartrate billing and coding guide?
Our team has not identified a manufacturer-published source of billing and coding information for BUTORPHANOL TARTRATE.
Are there any available Butorphanol Tartrate patient assistance programs?
BUTORPHANOL TARTRATE patient assistance information can be found through Pfizer. Visit Here →
Where can I find Butorphanol Tartrate prescribing information?
BUTORPHANOL TARTRATE prescribing information can be found at the link below: Visit Here →
Where can I find Butorphanol Tartrate side effect information?
Information regarding BUTORPHANOL TARTRATE's side effects can be found at MedlinePlus Visit Here →
Does billing BUTORPHANOL TARTRATE require JZ/JW wastage modifiers?
CMS has identified BUTORPHANOL TARTRATE(J0595) 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.

Related Drug Codes

Explore billing, coding, and pricing for drugs related to BUTORPHANOL TARTRATE.

J2300NALBUPHINE HCLInjection, nalbuphine hydrochloride, per 10 mgMultiple ManufacturersAdded January 1, 1996J2175DEMEROLInjection, meperidine hydrochloride, per 100 mgMultiple ManufacturersAdded January 1, 1986C9101OlinvykInjection, oliceridine, 0.1 mgTrevenaAdded October 1, 2022J0216ALFENTAInjection, alfentanil hydrochloride, 500 microgramsAKORNAdded July 1, 2023J0572BUPRENORPHINE-NALOXONEBuprenorphine/naloxone, oral, less than or equal to 3 mg buprenorphineMultiple ManufacturersAdded January 1, 2015J0573BUPRENORPHINE-NALOXONEBuprenorphine/naloxone, oral, greater than 3 mg, but less than or equal to 6 mg buprenorphineMultiple ManufacturersAdded January 1, 2015J0574BUPRENORPHINE-NALOXONEBuprenorphine/naloxone, oral, greater than 6 mg, but less than or equal to 10 mg buprenorphineMultiple ManufacturersAdded January 1, 2015J0575BUPRENORPHINE-NALOXONEBuprenorphine/naloxone, oral, greater than 10 mg buprenorphineMultiple ManufacturersAdded January 1, 2015J0745CODEINE PHOSPHATEInjection, codeine phosphate, per 30 mgAdded January 1, 1986J1170DILAUDIDInjection, hydromorphone, up to 4 mgMultiple ManufacturersAdded January 1, 1982