Home Drug Codes J Codes J0586 · DYSPORT
Updated July 1st, 2026

DYSPORT J Code: J0586

Injection, abobotulinumtoxina, 5 units

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Q4 2026 Medicare Payment Limit for J0586, effective October 1, 2026: $8.937 per HCPCS billing unit, down 0.1% from $8.946. From CMS's final file.

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Medicare Payment Limit ?
$8.946
/ HCPCS billing unit · Q3 2026
APC Payment Limit ?
$8.946
/ HCPCS billing unit · APC 1289
ASP ?
$•••.••
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WAC · AWP ?
$•••.••
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NDCs Crosswalked ?
3
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Drug & Product Overview

HCPCS Descriptor Injection, abobotulinumtoxina, 5 units
HCPCS Added Date January 1, 2010
Manufacturer Ipsen Biopharma
Route of Administration Intramuscular
Generic Status Single-Source; Branded
Dosage Type Single-Dose
Dosage Form Injection, Powder, Lyophilized, For Solution

About DYSPORT

Dysport is a medication aligned to the HCPCS J Code: J0586 for billing, pricing, and reimbursement purposes in the United States. It is a Neurology drug administered via the intramuscular route and manufactured by Ipsen Biopharma.

According to CMS Drug Use Information: There are different types of botulinum toxin products (toxin A and B) with different uses (eye problems, muscle stiffness/spasms, migraines, cosmetic, overactive bladder). Different brands of this medication deliver different amounts of medication. Your doctor will choose the correct product for you. Botulinum toxin is used to treat certain eye disorders such as crossed eyes (strabismus) and uncontrolled blinking (blepharospasm), to treat muscle stiffness/spasms or movement disorders (such as cervical dystonia, torticollis), and to reduce the cosmetic appearance of wrinkles or vertical neck bands connecting the jaw and neck (platysma bands). It is also used to prevent headaches in people with very frequent migraines. Botulinum toxin relaxes muscle by blocking the release of a chemical called acetylcholine. Botulinum toxin is also used to treat overactive bladder by patients who do not respond to or who cannot tolerate the side effects of other medications. It helps to reduce leaking of urine, feeling of needing to urinate right away, and frequent trips to the bathroom. It is also used to treat severe underarm sweating and drooling/excess saliva. Botulinum toxin works by blocking the chemicals that turn on the sweat and salivary glands. Botulinum toxin is not a cure, and your symptoms will gradually return as the medication wears off.

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
00299-5962-30 Dysport Galderma Laboratories, L.P. 60 Dysport Intramuscular Injection 300 U/… Login for More
15054-0500-01 Dysport Ipsen Biopharmaceuticals, Inc. 100 Dysport Intramuscular Injection 500 U/… Login for More
15054-0530-06 Dysport Ipsen Biopharmaceuticals, Inc. 60 Dysport Intramuscular Injection 300 U/… Login for More
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DYSPORT Pricing & Reimbursement

J0586 Private Payer Reimbursement
$8.65 / 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

DYSPORT 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 Dysport (J0586) as a HCPCS code with single-dose containers. Therefore, the JW/JZ wastage modifiers could be required for billing purposes. Wastage billing guide →

DYSPORT Medically Unlikely Edits (MUE)

The most billing units of J0586 Medicare will pay for one patient in one day, as published by CMS. 1 unit = 5 units.

Practitioner Office & Hospital Outpatient
300 units / day
= 1,500 units 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 →

units Enter a dose to see how many billing units it is and whether it is under the limit.

DYSPORT 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.

Cervical Dystonia Glabellar Lines Spasticity
Drug Class
Acetylcholine Release Inhibitor [EPC]Acetylcholine Release Inhibitors [MoA]Neuromuscular Blockade [PE]Neuromuscular Blocker [EPC]

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Frequently Asked Questions

Is there an available Dysport billing and coding guide?
Billing and coding information for DYSPORT can be found through Ipsen Biopharma. Visit Here →
Are there any available Dysport patient assistance programs?
DYSPORT patient assistance information can be found through Ipsen Biopharma. Visit Here →
Where can I find Dysport prescribing information?
DYSPORT 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 Dysport side effect information?
Our team has not yet identified a source of side effects information for DYSPORT. Please check back in a few weeks.
Does billing DYSPORT require JZ/JW wastage modifiers?
CMS has identified DYSPORT(J0586) 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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