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Everything Behind the HCPCS Code

A free search returns the descriptor. A BuyandBill.com subscription opens the pricing, the billing units, and a decade of history behind every code.

  • Complete HCPCS pricing

    ASP, WAC, AWP, and the current Medicare Payment Limit on every HCPCS drug code.

  • HCPCS unit-level pricing

    Every aligned NDC package converted to the HCPCS billing unit, so claims go out with the right units.

  • Compare pricing over time

    10+ years of pricing history, charted side by side across drugs and biosimilars.

How It Works

From a HCPCS Code to a Billable Answer

  1. Start with what you know

    Type a J-code, Q-code, C-code, or just the drug name. The search finds the match and fills in the rest.

  2. Read the whole record

    The descriptor, every NDC that aligns to it, the billing units, and ASP, WAC, and AWP pricing all sit on one screen.

  3. Send a clean claim

    Bill the right number of units at the current Medicare Payment Limit, and get it right the first time.

Free Tool

Billing Units Calculator

Every HCPCS drug code defines one billing unit — J9035 is “Injection, bevacizumab, 10 mg,” so a 400 mg dose is 40 units. Pick a code, enter the dose administered, and get the unit count the claim needs.

Fractional doses round up to the next whole unit, which leaves discarded drug to account for — see billing drug wastage with the JW and JZ modifiers.

Try an example:

Who It's For

Built for Everyone Who Touches the Claim

The billing team sending the claim, the analyst pricing the drug, the payer auditing it, and the practice administering it all work from the same code record.

  • Billing & revenue cycle

    Check NDCs, billing units, and pricing before a claim goes out, so fewer come back denied.

  • Market access & pricing

    Package pricing, labeler detail, and product data for competitive and reimbursement analysis.

  • Payers & consultants

    Validate NDC-to-HCPCS crosswalks and review package-level detail during audits.

  • Provider practices that buy & bill

    Purchase the drug, administer it in the office, and bill the claim — across every specialty charted below.

Quarterly Code Updates

New HCPCS Drug Codes This Quarter

CMS updates the HCPCS code set in January, April, July, and October. 28 drug codes took effect October 1, 2026 — each links to its code page.

FAQs

HCPCS Drug Code Lookup FAQs

How drug codes, NDCs, billing units, and pricing fit together on a clean claim.

Still have a question? Contact us
What is a HCPCS code?

HCPCS stands for the Healthcare Common Procedure Coding System, the standard code set used to bill physician-administered drugs to Medicare and commercial payers. A HCPCS code such as a J-code identifies both the drug and its unit of measure. BuyandBill.com provides the official descriptor and publicly available coding detail for every drug code we cover: A Code, C Code, J Code, P Code, Q Code and S Code. A subscription unlocks full NDC alignments and pricing.

How is a HCPCS code different from an NDC?

The two codes answer different questions. The HCPCS code tells the payer which drug was administered and in what unit of measure. The NDC identifies the exact package the drug came from, including the manufacturer, strength, and package size. BuyandBill.com links HCPCS codes to their aligned NDCs and provides the billing-unit conversion between the two; full NDC alignments and pricing require a subscription.

How do I calculate billing units for a HCPCS code?

Each HCPCS drug code defines a standard unit dose, and the number of units billed is the administered dose divided by that amount. J9035, for example, is defined as "Injection, bevacizumab, 10 mg," so a 400 mg dose is billed as 40 units. Incorrect unit counts are among the most common causes of denied drug claims. BuyandBill.com displays the unit definition and the package-to-unit conversion for publicly available NDCs, and a subscription unlocks the full set of aligned NDCs.

Do I bill a CPT code along with the drug's HCPCS code?

In most cases, yes. A complete claim includes the HCPCS code for the drug itself and a CPT administration code for the service of giving it, such as 96372 for a therapeutic injection or 96413 for the first hour of a chemotherapy infusion. See our guide to CPT drug administration codes for how the two work together.

What if a drug doesn't have its own HCPCS code yet?

New drugs often reach the market before CMS assigns them a permanent code. Until one is issued, the drug is billed under a not-otherwise-classified (NOC) code, such as J3490 for unclassified drugs, J3590 for unclassified biologics, or J9999 for chemotherapy drugs. The claim must also report the 11-digit NDC and the dose administered. CMS reviews new code applications quarterly, so a permanent code usually follows.

How often are HCPCS codes and pricing updated?

CMS updates the HCPCS code set quarterly, with new drug codes taking effect in January, April, July, and October. BuyandBill.com follows the same quarterly schedule for ASP and the Medicare Payment Limit and applies CMS corrections as soon as they are published. WAC and AWP pricing and NDC-to-HCPCS alignments are refreshed weekly.

Where does the HCPCS data come from?

Code descriptors and the Medicare Payment Limit come directly from CMS. ASP is calculated by BuyandBill.com, and NDC-to-HCPCS alignments and WAC and AWP pricing are collected directly from drug manufacturers.

Can I run a quick HCPCS search without an account?

Yes. Searching is free, and every drug code page shows the descriptor, basic coding detail, and the current Medicare Payment Limit without a login. The full set of aligned NDCs and manufacturer pricing (ASP, WAC, and AWP) come with a subscription, and a 7-day free trial opens all of it.

What BuyandBill.com Does

Other Capabilities

NDC Lookup

Search any National Drug Code for its package description, pricing, and aligned HCPCS code.

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Drug Price Lookup & Trends

Track ASP, WAC, and AWP across 10+ years of history in tabular and graphical formats.

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Drug Comparative Graphing

Chart two drugs on one graph and compare drugs and biosimilars side by side.

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Billing Calculator

Turn billing units into the Medicare allowed amount, the 80/20 split, and the charge to submit.

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Start Your HCPCS Drug Code Lookup

Enter a HCPCS code to view complete pricing, billing unit, and reimbursement data in one screen.