DILTIAZEM HCL J Code: J1163
Injection, diltiazem hydrochloride, 0.5 mg
Drug & Product Overview
About DILTIAZEM HCL
Diltiazem HCL is a medication aligned to the HCPCS J Code: J1163 for billing, pricing, and reimbursement purposes in the United States. Classified under Cardiology, 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 19 NDCs — log in for the full crosswalk.
| NDC Code | Drug | Manufacturer | Billing Units / Pkg | Package Size |
|---|---|---|---|---|
| 00409-4350-03 | Diltiazem Hydrochloride | Hospira, Inc. | 2000 | 100 MG |
| 00641-6013-10 | Diltiazem Hydrochloride | Hikma Pharmaceuticals USA Inc. | 500 | 25 MG / 5 ML |
| 25021-0319-05 | Diltiazem Hydrochloride | Sagent Pharmaceuticals | 500 | 25 MG / 5 ML |
| 55150-0425-10 | Diltiazem Hydrochloride | Eugia US LLC | 500 | 25 MG / 5 ML |
| 63037-0117-05 | Diltiazem in NaCl | Hikma Injectables Usa Inc. | 1250 | 125 MG / 125 ML |
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DILTIAZEM HCL Pricing & Reimbursement
National median reimbursement across major commercial payers.
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Login to use the calculator →DILTIAZEM HCL 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 |
|---|---|
| 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) |
| 96374 Login for More | Therapeutic, prophylactic, or diagnostic injection (specify substance or drug), IV push, single, or initial substance/drug Login for More |
| 96375 Login for More | Therapeutic, prophylactic, or diagnostic injection (specify substance or drug); each additional sequential intravenous push of a new substance/drug. Login for More |
This product is new and does not yet appear on the CMS list of HCPCS pertaining to single-dose containers. Wastage billing guide →
DILTIAZEM HCL Medically Unlikely Edits (MUE)
The most billing units of J1163 Medicare will pay for one patient in one day, as published by CMS. 1 unit = 0.5 mg.
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 →
DILTIAZEM HCL 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 DILTIAZEM HCL require JZ/JW wastage modifiers?
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