Home Drug Codes J Codes J2545 · NEBUPENT
Updated July 1st, 2026

NEBUPENT J Code: J2545

Pentamidine isethionate, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per 300 mg

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Q4 2026 Medicare Payment Limit for J2545, effective October 1, 2026: $67.047 per HCPCS billing unit, down 8.2% from $72.997. From CMS's final file.

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Medicare Payment Limit ?
$72.997
/ HCPCS billing unit · Q3 2026
APC Payment Limit ?
Not published
CMS publishes none for Q3 2026
ASP ?
$•••.••
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WAC · AWP ?
$•••.••
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NDCs Crosswalked ?
4
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Drug & Product Overview

HCPCS Descriptor Pentamidine isethionate, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per 300 mg
HCPCS Added Date January 1, 1992
Manufacturer Multiple Manufacturers
Route of Administration Inhalation
Generic Status Multi-Source; Generic
Dosage Type Single-Dose
Dosage Form Inhalant

About NEBUPENT

Nebupent is a medication aligned to the HCPCS J Code: J2545 for billing, pricing, and reimbursement purposes in the United States. It is an Antibiotic drug administered via the inhalation route and manufactured by multiple companies.

According to CMS Drug Use Information: Pentamidine given by inhalation is used to prevent a serious lung infection (Pneumocystis pneumonia-PCP) in people with acquired immunodeficiency syndrome (AIDS). Pentamidine belongs to a class of drugs known as antiprotozoals. It works by killing the organism that causes the infection.

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 3 of 4 NDCs — log in for the full crosswalk.

NDC Code Drug Manufacturer Billing Units / Pkg Package Size
13925-0522-01 Pentamidine Isethionate Seton Pharmaceuticals 1 300 MG
39822-3030-02 Pentamidine Isethionate XGen Pharmaceuticals DJB, Inc. 1 300 MG / 6 ML
63323-0877-15 NebuPent Fresenius Kabi USA, LLC 1 300 MG / 6 ML
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NEBUPENT Pricing & Reimbursement

J2545 Private Payer Reimbursement
$90.58 / 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

NEBUPENT 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
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction or for sputum induction for diagnostic purposes.
Not on the CMS JW / JZ list

CMS does not include Nebupent (J2545) on its list of HCPCS pertaining to single-dose containers. Per CMS guidelines, the JZ/JW wastage modifiers may not apply when billing J2545. Wastage billing guide →

NEBUPENT Medically Unlikely Edits (MUE)

The most billing units of J2545 Medicare will pay for one patient in one day, as published by CMS. 1 unit = 300 mg.

Practitioner Office & Hospital Outpatient
1 unit / day
= 300 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.

NEBUPENT 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.

Pneumocystis jiroveci pneumonia (PJP) prevention
Drug Class
Antiprotozoal [EPC]

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Frequently Asked Questions

Is there an available Nebupent billing and coding guide?
We have not yet identified a manufacturer source of Nebupent billing and coding information.
Are there any available Nebupent patient assistance programs?
Our team did not identify a source for Nebupent patient assistance information. Please reach out to our team if you feel that this is a mistake.
Where can I find Nebupent prescribing information?
Our team is still working to identify a prescribing information source for NEBUPENT
Where can I find Nebupent side effect information?
Our team has not yet identified a source of side effects information for NEBUPENT. Please check back in a few weeks.
Does billing NEBUPENT require JZ/JW wastage modifiers?
CMS does not include NEBUPENT (J2545) on its list of HCPCS pertaining to single-dose containers. Per CMS guidelines, the JZ/JW wastage modifiers may not apply when billing J2545. For more information, visit the link below.

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