Pantoprazole Sodium J Code: J2470

Drug & Product Overview

HCPCS Descriptor Injection, pantoprazole sodium, 40 mg

HCPCS Added Date July 1, 2024

Manufacturer Multiple Manufacturers

Route of Administration Intravenous

Generic Status Multi-Source; Generic

Dosage Type Single-Dose

Dosage Form Injection, Powder, For Solution | Injection, Powder, Lyophilized, For Solution | Not Available | Powder, For Solution

About Pantoprazole Sodium

Pantoprazole Sodium is a medication aligned to the HCPCS J Code: J2470 for billing, pricing, and reimbursement purposes in the United States. It is a Gastroenterology drug administered via the intravenous route and manufactured by multiple companies.

Manufacturers, reach out to us to add more information.

NDC Code Information

36 NDC packages are crosswalked to J2470. Package detail is available to logged-in subscribers.

NDC Code	Drug	Manufacturer	Billing Units / Pkg	Package Size
•••••-••••-•• Log in to view	Pantoprazole Sodium
	Pantoprazole Sodium
	Pantoprazole Sodium
	Pantoprazole Sodium

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Pantoprazole Sodium Pricing & Reimbursement

J2470 Private Payer Reimbursement

$1.78 / HCPCS unit as of Jan 2026

National median reimbursement across major commercial payers.

Create an account on PayerPrice for more information →

Pantoprazole Sodium 505(b)(2) Information:

HCPCS Code	Manufacturer	Active Ingredient	HCPCS Description
J2470	Generic Code (Multiple Manufacturers)	Pantoprazole Sodium	Injection, pantoprazole sodium, 40 mg
J2471	Generic Code (Multiple Manufacturers)	Pantoprazole Sodium	Injection, pantoprazole (hikma), not therapeutically equivalent to j2470, 40 mg
J2472	Baxter Healthcare	Pantoprazole Sodium	Injection, pantoprazole sodium in sodium chloride (baxter), 40 mg

Pantoprazole Sodium CPT Administration Codes

CPT Code	Description
96374	Therapeutic, prophylactic, or diagnostic injection (specify substance or drug), IV push, single, or initial substance/drug

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 →

Pantoprazole Sodium Medically Unlikely Edits (MUE)

The most billing units of J2470 Medicare will pay for one patient in one day, as published by CMS. 1 unit = 40 mg.

Practitioner Office & Hospital Outpatient

6 units / day

= 240 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 →

Pantoprazole Sodium 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.

GERD associated with a history of erosive esophagitis Gastroesophageal Reflux Disease Associated with a History of Erosive Esophagitis Gastroesophageal reflux disease (GERD) with a history of erosive esophagitis (EE) Pathological Hypersecretion Including Zollinger-Ellison Syndrome Pathological hypersecretion conditions including Zollinger-Ellison Syndrome Pathological hypersecretory conditions including Zollinger-Ellison Syndrome Pathological hypersecretory conditions including Zollinger-Ellison syndrome pathological hypersecretory conditions including Zollinger-Ellison Syndrome

Drug Class

Proton Pump Inhibitor [EPC]Proton Pump Inhibitors [MoA]

Frequently Asked Questions

Is there an available Pantoprazole Sodium billing and coding guide?

We have not yet identified a manufacturer source of Pantoprazole Sodium billing and coding information.

Are there any available Pantoprazole Sodium patient assistance programs?

Our team did not identify a source for Pantoprazole Sodium patient assistance information. Please reach out to our team if you feel that this is a mistake.

Where can I find Pantoprazole Sodium prescribing information?

We have not identified a source of prescribing information for this medication.

Where can I find Pantoprazole Sodium side effect information?

Our team has not yet identified a source of side effects information for Pantoprazole Sodium. Please check back in a few weeks.

Does billing Pantoprazole Sodium require JZ/JW wastage modifiers?

CMS does not include Pantoprazole Sodium (J2470) on its list of HCPCS pertaining to single-dose containers. Per CMS guidelines, the JZ/JW wastage modifiers may not apply when billing J2470. For more information, visit the link below.

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