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Updated July 1st, 2026

DIGOXIN J Code: J1160

Injection, digoxin, up to 0.5 mg

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Q4 2026 Medicare Payment Limit for J1160, effective October 1, 2026: $3.809 per HCPCS billing unit, down 2.6% from $3.911. From CMS's final file.

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Medicare Payment Limit ?
$3.911
/ HCPCS billing unit · Q3 2026
APC Payment Limit ?
Not published
CMS publishes none for Q3 2026
ASP ?
$•••.••
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WAC · AWP ?
$•••.••
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NDCs Crosswalked ?
8
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Drug & Product Overview

HCPCS Descriptor Injection, digoxin, up to 0.5 mg
HCPCS Added Date January 1, 1982
Manufacturer Multiple Manufacturers
Route of Administration Intramuscular, Intravenous, Parenteral
Generic Status Multi-Source; Generic
Dosage Type Single-Dose
Dosage Form Injection | Injection, Solution

About DIGOXIN

Digoxin is a medication aligned to the HCPCS J Code: J1160 for billing, pricing, and reimbursement purposes in the United States. Classified under Cardiology, it is administered via the intramuscular, intravenous, or parenteral routes 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 8 NDCs — log in for the full crosswalk.

NDC Code Drug Manufacturer Billing Units / Pkg Package Size
00641-1410-35 Digoxin Hikma Pharmaceuticals USA Inc. 25 0.5 MG / 2 ML
00781-3059-95 Digoxin Sandoz Inc 10 0.5 MG / 2 ML
70515-0260-10 Lanoxin Covis Pharma US, Inc 10 0.25 MG
70515-0262-10 Lanoxin Covis Pharma US, Inc 2 0.1 MG
70515-0263-10 Lanoxin Covis Pharma US, Inc 2 0.1 MG / 1 ML
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DIGOXIN
DIGOXIN
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DIGOXIN Pricing & Reimbursement

J1160 Private Payer Reimbursement
$9.34 / HCPCS unit as of Jan 2026

National median reimbursement across major commercial payers.

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UnitedHealthcare, BlueCross BlueShield, Aetna, Cigna

Historical Graphing and Billing Calculator

per HCPCS unit
As of Q3 2026

DIGOXIN 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
96374 Therapeutic, prophylactic, or diagnostic injection (specify substance or drug), IV push, single, or initial substance/drug
Not on the CMS JW / JZ list

CMS does not include Digoxin (J1160) on its list of HCPCS pertaining to single-dose containers. Per CMS guidelines, the JZ/JW wastage modifiers may not apply when billing J1160. Wastage billing guide →

DIGOXIN Medically Unlikely Edits (MUE)

The most billing units of J1160 Medicare will pay for one patient in one day, as published by CMS. 1 unit = 0.5 mg. The limit is different in the office and the hospital. Use the one for your setting.

Practitioner Office
2 units / day
= 1 mg per day
Hospital Outpatient
3 units / day
= 1.5 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.

DIGOXIN 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.

Atrial Fibrillation Heart Failure
Drug Class
Cardiac Glycoside [EPC]Cardiac Glycosides [CS]

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Frequently Asked Questions

Is there an available Digoxin billing and coding guide?
We have not yet identified a manufacturer source of Digoxin billing and coding information.
Are there any available Digoxin patient assistance programs?
Our team did not identify a source for Digoxin patient assistance information. Please reach out to our team if you feel that this is a mistake.
Where can I find Digoxin prescribing information?
DIGOXIN 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 Digoxin side effect information?
Our team has not yet identified a source of side effects information for DIGOXIN. Please check back in a few weeks.
Does billing DIGOXIN require JZ/JW wastage modifiers?
CMS does not include DIGOXIN (J1160) on its list of HCPCS pertaining to single-dose containers. Per CMS guidelines, the JZ/JW wastage modifiers may not apply when billing J1160. For more information, visit the link below.

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