Home › Drug Codes › J Codes › J3486 · GEODON
Updated July 1st, 2026

GEODON J Code: J3486

Injection, ziprasidone mesylate, 10 mg

Login to unlock all benchmarks

Q4 2026 Medicare Payment Limit for J3486, effective October 1, 2026: $5.94 per HCPCS billing unit, up 6.0% from $5.602. From CMS's final file.

?
Medicare Payment Limit ?
$5.602
/ HCPCS billing unit · Q3 2026
APC Payment Limit ?
Not published
CMS publishes none for Q3 2026
ASP ?
$•••.••
Login to view
WAC · AWP ?
$•••.••
Login to view
NDCs Crosswalked ?
11
View NDC crosswalk →

Drug & Product Overview

HCPCS Descriptor Injection, ziprasidone mesylate, 10 mg
HCPCS Added Date January 1, 2004
Manufacturer Multiple Manufacturers
Route of Administration Intramuscular
Generic Status Multi-Source; Generic
Dosage Type Single-Dose
Dosage Form Injection, Powder, Lyophilized, For Solution | Not Available

About GEODON

Geodon is a medication aligned to the HCPCS J Code: J3486 for billing, pricing, and reimbursement purposes in the United States. This Psychiatric medication is administered via the intramuscular route and manufactured by multiple companies.

Manufacturers, reach out to us to add more information.

NDC Code Information

Based on publicly available CMS files. Showing 5 of 11 NDCs — log in for the full crosswalk.

NDC Code Drug Manufacturer Billing Units / Pkg Package Size
00049-3920-10 Geodon Viatris Specialty LLC 20 20 MG / 1 ML
00049-3920-83 Geodon Upjohn US 1 LLC 20 20 MG
43598-0061-58 Ziprasidone Mesylate Dr.Reddy'S Laboratories, Inc. 20 20 MG / 1 ML
50090-4540-00 Geodon A-S Medication Solutions 2 20 MG
72205-0205-07 ziprasidone mesylate Novadoz Pharmaceuticals LLC 20 20 MG / 1 ML
•••••-••••-•• Log in to view GEODON
GEODON
GEODON
Login to view 6 more NDC packages View pricing, complete NDC-to-HCPCS alignments, and package details.
Login →

GEODON Pricing & Reimbursement

J3486 Private Payer Reimbursement
$9.11 / HCPCS unit as of Jan 2026

National median reimbursement across major commercial payers.

Create an account on PayerPrice for more information →
UnitedHealthcare, BlueCross BlueShield, Aetna, Cigna

Historical Graphing and Billing Calculator

per HCPCS unit
As of Q3 2026

GEODON 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 Geodon (J3486) as a HCPCS code with single-dose containers. Therefore, the JW/JZ wastage modifiers could be required for billing purposes. Wastage billing guide →

GEODON Medically Unlikely Edits (MUE)

The most billing units of J3486 Medicare will pay for one patient in one day, as published by CMS. 1 unit = 10 mg.

Practitioner Office & Hospital Outpatient
4 units / day
= 40 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.

GEODON 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.

Acute Agitation in Schizophrenia Acute agitation in schizophrenia Bipolar I Disorder Bipolar I Disorder (Acute Manic or Mixed Episodes) Bipolar I Disorder (Maintenance) Schizophrenia
Drug Class
Atypical Antipsychotic [EPC]

Login for BuyandBill.com Analytics

Unlock deeper insights with BuyandBill’s Comparative Report!

  • Compare ASP, WAC, and AWP across drugs.
  • Visualize Drug Price Movement Over Time
  • Tailor reports to drug class, manufacturer, or HCPCS Code.
  • Compare Biosimilar and 505(b)(2) products.
Access Full Report →

Frequently Asked Questions

Is there an available Geodon billing and coding guide?
We have not yet identified a manufacturer source of Geodon billing and coding information.
Are there any available Geodon patient assistance programs?
Our team did not identify a source for Geodon patient assistance information. Please reach out to our team if you feel that this is a mistake.
Where can I find Geodon prescribing information?
GEODON 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 Geodon side effect information?
Our team has not yet identified a source of side effects information for GEODON. Please check back in a few weeks.
Does billing GEODON require JZ/JW wastage modifiers?
CMS has identified GEODON(J3486) 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.

About BuyandBill.com:

The BuyandBill.com team is dedicated to delivering high-quality coding and billing information for office-administered drugs. We continuously research HCPCS-coded medications to expand our resources and ensure data accuracy. Manufacturers: click here to sponsor your medication, and we will ensure the most accurate and detailed information is displayed.

Related Drug Codes

Explore billing, coding, and pricing for drugs related to GEODON.

J0402ABILIFY ASIMTUFIIInjection, aripiprazole (abilify asimtufii), 1 mgOtsuka America Pharmaceuticals IncAdded January 1, 2024J2799UZEDYInjection, risperidone (uzedy), 1 mgTevaAdded January 1, 2024J0401ABILIFY MAINTENAInjection, aripiprazole (abilify maintena), 1 mgOtsuka America Pharmaceuticals IncAdded January 1, 2014J2794RISPERDAL CONSTAInjection, risperidone (risperdal consta), 0.5 mgMultiple ManufacturersAdded January 1, 2005J2801RYKINDOInjection, risperidone (rykindo), 0.5 mgShandong Luye PharmaceuticalsAdded April 1, 2024J1943ARISTADA INITIOInjection, aripiprazole lauroxil, (aristada initio), 1 mgAlkermesAdded October 1, 2019J1944ARISTADAInjection, aripiprazole lauroxil, (aristada), 1 mgAlkermesAdded October 1, 2019J2359OLANZAPINEInjection, olanzapine, 0.5 mgMultiple ManufacturersAdded October 1, 2023J2426INVEGA SUSTENNAInjection, paliperidone palmitate extended release (invega sustenna), 1 mgJanssenAdded January 1, 2011J2427INVEGA TRINZAInjection, paliperidone palmitate extended release (invega hafyera, or invega trinza), 1 mgJanssenAdded July 1, 2023