FENTANYL CITRATE J Code: J3010
Injection, fentanyl citrate, 0.1 mg
Q4 2026 Medicare Payment Limit for J3010, effective October 1, 2026: $1.362 per HCPCS billing unit, down 1.7% from $1.385. From CMS's final file.
Drug & Product Overview
About FENTANYL CITRATE
Fentanyl Citrate is a medication aligned to the HCPCS J Code: J3010 for billing, pricing, and reimbursement purposes in the United States. It is an Opioid Analgesic drug administered via the intramuscular or intravenous 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 32 NDCs — log in for the full crosswalk.
| NDC Code | Drug | Manufacturer | Billing Units / Pkg | Package Size |
|---|---|---|---|---|
| 00409-9093-11 | Fentanyl Citrate | Hospira, Inc. | 10 | 0.1 MG / 2 ML |
| 00641-6027-25 | Fentanyl Citrate | Hikma Pharmaceuticals USA Inc. | 25 | 0.1 MG / 2 ML |
| 63323-0806-01 | Fentanyl Citrate | Fresenius Kabi USA, LLC | 13 | 0.05 MG / 1 ML |
| 72572-0170-25 | Fentanyl Citrate | Civica, Inc. | 25 | 0.1 MG / 2 ML |
| 81565-0205-02 | Fentanyl Citrate | Phlow Corp. | 25 | 0.1 MG / 2 ML |
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FENTANYL CITRATE Pricing & Reimbursement
National median reimbursement across major commercial payers.
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Login to use the calculator →FENTANYL CITRATE 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 |
|---|---|
| 96375 | Therapeutic, prophylactic, or diagnostic injection (specify substance or drug); each additional sequential intravenous push of a new substance/drug. |
CMS has identified Fentanyl Citrate (J3010) as a HCPCS code with single-dose containers. Therefore, the JW/JZ wastage modifiers could be required for billing purposes. Wastage billing guide →
FENTANYL CITRATE Medically Unlikely Edits (MUE)
The most billing units of J3010 Medicare will pay for one patient in one day, as published by CMS. 1 unit = 0.1 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 →
FENTANYL CITRATE 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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