Home › Drug Codes › J Codes › J0780 · PROCHLORPERAZINE EDISYLATE
Updated July 1st, 2026

PROCHLORPERAZINE EDISYLATE J Code: J0780

Injection, prochlorperazine, up to 10 mg

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Q4 2026 Medicare Payment Limit for J0780, effective October 1, 2026: $2.475 per HCPCS billing unit, down 10.4% from $2.762. From CMS's final file.

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Medicare Payment Limit ?
$2.762
/ 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 ?
26
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Drug & Product Overview

HCPCS Descriptor Injection, prochlorperazine, up to 10 mg
HCPCS Added Date January 1, 1984
Manufacturer Multiple Manufacturers
Route of Administration Intramuscular, Intravenous
Generic Status Multi-Source; Generic
Dosage Type Single-Dose, Multi-Dose
Dosage Form Injection | Injection, Solution | Not Available

About PROCHLORPERAZINE EDISYLATE

Prochlorperazine Edisylate is a medication aligned to the HCPCS J Code: J0780 for billing, pricing, and reimbursement purposes in the United States. This Psychiatric medication is administered via the intramuscular or intravenous routes and manufactured by multiple companies.

According to CMS Drug Use Information: Drug uses not available

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 5 of 26 NDCs — log in for the full crosswalk.

NDC Code Drug Manufacturer Billing Units / Pkg Package Size
00641-6135-25 Prochlorperazine Edisylate Hikma Pharmaceuticals USA Inc. 25 10 MG / 2 ML
14789-0700-02 Prochlorperazine Edisylate Nexus Pharmaceuticals, LLC 10 10 MG / 2 ML
23155-0294-41 Prochlorperazine Edisylate Heritage Pharmaceuticals Inc. d/b/a Avet Pharmaceuticals Inc. 25 10 MG / 2 ML
23155-0497-42 Prochlorperazine Edisylate Heritage Pharmaceuticals Inc. 10 10 MG / 2 ML
25021-0790-02 Prochlorperazine Edisylate Sagent Pharmaceuticals 10 10 MG / 2 ML
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PROCHLORPERAZINE EDISYLATE
PROCHLORPERAZINE EDISYLATE
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PROCHLORPERAZINE EDISYLATE Pricing & Reimbursement

J0780 Private Payer Reimbursement
$2.49 / HCPCS unit as of Jan 2026

National median reimbursement across major commercial payers.

Create an account on PayerPrice for more information →
UnitedHealthcare, BlueCross BlueShield, Aetna, Cigna

Historical Graphing and Billing Calculator

per HCPCS unit
As of Q3 2026

PROCHLORPERAZINE EDISYLATE 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
Not on the CMS JW / JZ list

CMS does not include Prochlorperazine Edisylate (J0780) on its list of HCPCS pertaining to single-dose containers. Per CMS guidelines, the JZ/JW wastage modifiers may not apply when billing J0780. Wastage billing guide →

PROCHLORPERAZINE EDISYLATE Medically Unlikely Edits (MUE)

The most billing units of J0780 Medicare will pay for one patient in one day, as published by CMS. 1 unit = 10 mg. The limit is different in the office and the hospital. Use the one for your setting.

Practitioner Office
4 units / day
= 40 mg per day
Hospital Outpatient
10 units / day
= 100 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.

PROCHLORPERAZINE EDISYLATE 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.

Schizophrenia Severe nausea and vomiting Severe nausea and vomiting (adult surgery) Severe nausea and vomiting (surgery)
Drug Class
Phenothiazine [EPC]Phenothiazines [CS]

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Frequently Asked Questions

Is there an available Prochlorperazine Edisylate billing and coding guide?
We have not yet identified a manufacturer source of Prochlorperazine Edisylate billing and coding information.
Are there any available Prochlorperazine Edisylate patient assistance programs?
Our team did not identify a source for Prochlorperazine Edisylate patient assistance information. Please reach out to our team if you feel that this is a mistake.
Where can I find Prochlorperazine Edisylate prescribing information?
Our team is still working to identify a prescribing information source for PROCHLORPERAZINE EDISYLATE
Where can I find Prochlorperazine Edisylate side effect information?
Our team has not yet identified a source of side effects information for PROCHLORPERAZINE EDISYLATE. Please check back in a few weeks.
Does billing PROCHLORPERAZINE EDISYLATE require JZ/JW wastage modifiers?
CMS does not include PROCHLORPERAZINE EDISYLATE (J0780) on its list of HCPCS pertaining to single-dose containers. Per CMS guidelines, the JZ/JW wastage modifiers may not apply when billing J0780. For more information, visit the link below.

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