Home › Drug Codes › J Codes › J2560 · PHENOBARBITAL SODIUM
Updated July 1st, 2026

PHENOBARBITAL SODIUM J Code: J2560

Injection, phenobarbital sodium, up to 120 mg

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Q4 2026 Medicare Payment Limit for J2560, effective October 1, 2026: $23.369 per HCPCS billing unit, down 5.7% from $24.769. From CMS's final file.

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Medicare Payment Limit ?
$24.769
/ 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 ?
15
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Drug & Product Overview

HCPCS Descriptor Injection, phenobarbital sodium, up to 120 mg
HCPCS Added Date January 1, 1982
Manufacturer Multiple Manufacturers
Route of Administration Intramuscular, Intravenous
Generic Status Multi-Source; Generic
Dosage Type Single-Dose
Dosage Form Injection | Injection, Solution

About PHENOBARBITAL SODIUM

Phenobarbital Sodium is a medication aligned to the HCPCS J Code: J2560 for billing, pricing, and reimbursement purposes in the United States. It is a Neurology drug administered via the intramuscular or intravenous routes 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 15 NDCs — log in for the full crosswalk.

NDC Code Drug Manufacturer Billing Units / Pkg Package Size
00641-0476-25 Phenobarbital Sodium Hikma Pharmaceuticals USA Inc. 14 65 MG / 1 ML
00641-0477-25 Phenobarbital Sodium Hikma Pharmaceuticals USA Inc. 27 130 MG / 1 ML
42494-0415-03 Phenobarbital Sodium Cameron Pharmaceuticals 2 65 MG / 1 ML
42494-0415-25 Phenobarbital Sodium Cameron Pharmaceuticals 14 65 MG / 1 ML
42494-0416-03 Phenobarbital Sodium Cameron Pharmaceuticals 4 130 MG / 1 ML
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PHENOBARBITAL SODIUM Pricing & Reimbursement

J2560 Private Payer Reimbursement
$29.42 / 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

Phenobarbital Sodium 505(b)(2) Information:

HCPCS Code Manufacturer Active Ingredient HCPCS Description
J2560 Generic Code (Multiple Manufacturers) Phenobarbital Sodium Injection, phenobarbital sodium, up to 120 mg
J2561 Sun Pharma Phenobarbital Sodium Injection, phenobarbital sodium (sezaby), 1 mg

PHENOBARBITAL SODIUM 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
96374 Therapeutic, prophylactic, or diagnostic injection (specify substance or drug), IV push, single, or initial substance/drug
JW / JZ modifiers apply

CMS has identified Phenobarbital Sodium (J2560) as a HCPCS code with single-dose containers. Therefore, the JW/JZ wastage modifiers could be required for billing purposes. Wastage billing guide →

PHENOBARBITAL SODIUM Medically Unlikely Edits (MUE)

The most billing units of J2560 Medicare will pay for one patient in one day, as published by CMS. 1 unit = 120 mg. The limit is different in the office and the hospital. Use the one for your setting.

Practitioner Office
1 unit / day
= 120 mg per day
Hospital Outpatient
16 units / day
= 1,920 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.

PHENOBARBITAL 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.

Acute Convulsions Acute convulsions Insomnia Insomnia (short-term treatment) Preoperative Sedation Preoperative sedation Sedation Seizures (anticonvulsant) Seizures (generalized tonic-clonic, cortical focal) Status Epilepticus Status epilepticus

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Frequently Asked Questions

Is there an available Phenobarbital Sodium billing and coding guide?
We have not yet identified a manufacturer source of Phenobarbital Sodium billing and coding information.
Are there any available Phenobarbital Sodium patient assistance programs?
Our team did not identify a source for Phenobarbital Sodium patient assistance information. Please reach out to our team if you feel that this is a mistake.
Where can I find Phenobarbital Sodium prescribing information?
PHENOBARBITAL SODIUM 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 Phenobarbital Sodium side effect information?
Our team has not yet identified a source of side effects information for PHENOBARBITAL SODIUM. Please check back in a few weeks.
Does billing PHENOBARBITAL SODIUM require JZ/JW wastage modifiers?
CMS has identified PHENOBARBITAL SODIUM(J2560) 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.

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