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Updated October 1st, 2026

Levetiracetam in Sodium Chloride J Code: J1958

Injection, levetiracetam in sodium chloride, 5 mg

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Medicare Payment Limit ?
$0.033
/ HCPCS billing unit
APC Payment Limit ?
Not published
CMS publishes none for Q4 2026
ASP ?
$•••.••
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WAC · AWP ?
$•••.••
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NDCs Crosswalked ?
43
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Drug & Product Overview

HCPCS Descriptor Injection, levetiracetam in sodium chloride, 5 mg
HCPCS Added Date October 1, 2026
Manufacturer Multiple Manufacturers
Route of Administration Intravenous
Generic Status Multi-Source; Generic
Dosage Form Injection | Injection, Solution

About Levetiracetam in Sodium Chloride

Levetiracetam in Sodium Chloride is a medication aligned to the HCPCS J Code: J1958 for billing, pricing, and reimbursement purposes in the United States. Classified under Neurology, it is administered via the intravenous 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 43 NDCs — log in for the full crosswalk.

NDC Code Drug Manufacturer Billing Units / Pkg Package Size
00143-9281-10 Levetiracetam in Sodium Chloride Hikma Pharmaceuticals USA Inc. 1000 500 MG / 100 ML
00264-1009-90 Levetiracetam B. Braun Medical Inc. 4800 1000 MG / 100 ML
14789-0110-05 Levetiracetam in Sodium Chloride Nexus Pharmaceuticals LLC 1000 500 MG / 100 ML
25021-0793-82 levetiracetam Sagent Pharmaceuticals 1000 500 MG / 100 ML
36000-0352-40 levetiracetam Baxter Healthcare Corporation 2400 500 MG / 100 ML
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Levetiracetam in Sodium Chloride
Levetiracetam in Sodium Chloride
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Levetiracetam in Sodium Chloride Pricing & Reimbursement

Historical Graphing and Billing Calculator

per HCPCS unit
As of Q4 2026

Levetiracetam in Sodium Chloride 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)
Not on the CMS JW / JZ list

This product is new and does not yet appear on the CMS list of HCPCS pertaining to single-dose containers. Wastage billing guide →

Levetiracetam in Sodium Chloride 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.

Myoclonic Seizures in Juvenile Myoclonic Epilepsy Myoclonic Seizures in Patients with Juvenile Myoclonic Epilepsy Partial-Onset Seizures Primary Generalized Tonic-Clonic Seizures
Drug Class
Decreased Central Nervous System Disorganized Electrical Activity [PE]

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Frequently Asked Questions

Is there an available Levetiracetam in Sodium Chloride billing and coding guide?
Our team has not identified a manufacturer-published source of billing and coding information for Levetiracetam in Sodium Chloride.
Are there any available Levetiracetam in Sodium Chloride patient assistance programs?
Our team has not identified a manufacturer-published source of patient assistance information for Levetiracetam in Sodium Chloride.
Where can I find Levetiracetam in Sodium Chloride prescribing information?
Levetiracetam in Sodium Chloride prescribing information can be found at the link below. Please reach out to us if you believe this information to be inaccurate or out of date. Visit Here →
Where can I find Levetiracetam in Sodium Chloride side effect information?
Our team has not yet identified a source of side effects information for Levetiracetam in Sodium Chloride. Please check back in a few weeks.
Does billing Levetiracetam in Sodium Chloride require JZ/JW wastage modifiers?
This product is new and does not yet appear on the CMS list of HCPCS pertaining to single-dose containers.

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