CALDOLOR J Code: J1741
Injection, ibuprofen, 100 mg
Q4 2026 Medicare Payment Limit for J1741, effective October 1, 2026: $3.268 per HCPCS billing unit, up 0.5% from $3.252. From CMS's final file.
Drug & Product Overview
About CALDOLOR
Caldolor is a medication aligned to the HCPCS J Code: J1741 for billing, pricing, and reimbursement purposes in the United States. It is a Non-Opioid Analgesic drug administered via the intravenous route and manufactured by Cumberland Pharmaceuticals.
According to CMS Drug Use Information: Ibuprofen is used to help relieve mild to moderate pain. When used with an opioid (such as morphine), it may be used to relieve moderate to severe pain. It is also used to reduce fever. Ibuprofen is known as a nonsteroidal anti-inflammatory drug (NSAID). It works by blocking your body's production of certain natural substances that cause inflammation. This effect helps to decrease swelling, pain, or fever.
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 |
|---|---|---|---|---|
| 66220-0284-22 | Caldolor | Cumberland Pharmaceuticals Inc. | 160 | 800 MG / 200 ML |
| 66220-0287-08 | Caldolor | Cumberland Pharmaceuticals Inc. | 200 | 800 MG / 8 ML |
CALDOLOR Pricing & Reimbursement
National median reimbursement across major commercial payers.
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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 |
|---|---|
| 96365 | Intravenous infusion, for therapy, prophylaxis, or diagnosis (specify substance or drug); initial, up to 1 hour |
| 96366 | Intravenous infusion, for therapy, prophylaxis, or diagnosis (specify substance or drug); each additional hour (List separately in addition to code for primary procedure) |
CMS does not include Caldolor (J1741) on its list of HCPCS pertaining to single-dose containers. Per CMS guidelines, the JZ/JW wastage modifiers may not apply when billing J1741. Wastage billing guide →
CALDOLOR Medically Unlikely Edits (MUE)
The most billing units of J1741 Medicare will pay for one patient in one day, as published by CMS. 1 unit = 100 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 →
CALDOLOR 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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Does billing CALDOLOR require JZ/JW wastage modifiers?
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