CHLOROTHIAZIDE SODIUM J Code: J1205

Drug & Product Overview

HCPCS Descriptor Injection, chlorothiazide sodium, per 500 mg

HCPCS Added Date January 1, 1982

Manufacturer Multiple Manufacturers

Route of Administration Intravenous

Generic Status Multi-Source; Generic

Dosage Type Single-Dose

Dosage Form Injection, Powder, Lyophilized, For Solution

About CHLOROTHIAZIDE SODIUM

Chlorothiazide Sodium is a medication aligned to the HCPCS J Code: J1205 for billing, pricing, and reimbursement purposes in the United States. Classified under Diuretic, it is administered via the intravenous route and manufactured by multiple companies.

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. Showing 5 of 7 NDCs — log in for the full crosswalk.

NDC Code	Drug	Manufacturer	Billing Units / Pkg	Package Size
00517-1820-01	Chlorothiazide Sodium	American Regent, Inc.	1	500 MG / 18 ML
25021-0305-20	chlorothiazide sodium	Sagent Pharmaceuticals	1	500 MG / 18 ML
25021-0305-66	chlorothiazide sodium	Sagent Pharmaceuticals	1	500 MG / 18 ML
47335-0330-40	Chlorothiazide Sodium	Sun Pharmaceutical Industries, Inc.	1	500 MG / 18 ML
63323-0658-20	Chlorothiazide	Fresenius Kabi USA, LLC	1	500 MG / 18 ML
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CHLOROTHIAZIDE SODIUM Pricing & Reimbursement

J1205 Private Payer Reimbursement

$58.10 / HCPCS unit as of Jan 2026

National median reimbursement across major commercial payers.

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Historical Graphing and Billing Calculator

per HCPCS unit

As of Q3 2026

CHLOROTHIAZIDE SODIUM CPT Administration Codes

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)

JW / JZ modifiers apply

CMS has identified Chlorothiazide Sodium (J1205) as a HCPCS code with single-dose containers. Therefore, the JW/JZ wastage modifiers could be required for billing purposes. Wastage billing guide →

CHLOROTHIAZIDE SODIUM Medically Unlikely Edits (MUE)

The most billing units of J1205 Medicare will pay for one patient in one day, as published by CMS. 1 unit = 500 mg.

Practitioner Office & Hospital Outpatient

4 units / day

= 2,000 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 →

CHLOROTHIAZIDE SODIUM 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.

Edema associated with congestive heart failure, hepatic cirrhosis, and corticosteroid and estrogen therapy Edema due to renal dysfunction (nephrotic syndrome, acute glomerulonephritis, chronic renal failure) Edema during pregnancy (pathologic causes) edema associated with congestive heart failure edema associated with congestive heart failure, hepatic cirrhosis, and corticosteroid and estrogen therapy edema associated with corticosteroid and estrogen therapy edema associated with corticosteroid therapy edema associated with estrogen therapy edema associated with hepatic cirrhosis edema due to acute glomerulonephritis edema due to chronic renal failure edema due to nephrotic syndrome edema due to renal dysfunction (nephrotic syndrome, acute glomerulonephritis, chronic renal failure)

Drug Class

Increased Diuresis [PE]Thiazide Diuretic [EPC]Thiazides [CS]

Frequently Asked Questions

Is there an available Chlorothiazide Sodium billing and coding guide?

We have not yet identified a manufacturer source of Chlorothiazide Sodium billing and coding information.

Are there any available Chlorothiazide Sodium patient assistance programs?

Our team did not identify a source for Chlorothiazide Sodium patient assistance information. Please reach out to our team if you feel that this is a mistake.

Where can I find Chlorothiazide Sodium prescribing information?

CHLOROTHIAZIDE SODIUM prescribing information can be found at the link below. Please reach out to us if you believe this information to be innacurate or out of date. Visit Here →

Where can I find Chlorothiazide Sodium side effect information?

Our team has not yet identified a source of side effects information for CHLOROTHIAZIDE SODIUM. Please check back in a few weeks.

Does billing CHLOROTHIAZIDE SODIUM require JZ/JW wastage modifiers?

CMS has identified CHLOROTHIAZIDE SODIUM(J1205) 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.

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