PROCHLORPERAZINE EDISYLATE J Code: J0780
Injection, prochlorperazine, up to 10 mg
Drug & Product Overview
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 Pricing & Reimbursement
National median reimbursement across major commercial payers.
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Login to use the calculator →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 |
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.
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 →
PROCHLORPERAZINE EDISYLATE Clinical Information
Indications and drug classification.
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.
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ASP, the Medicare payment limit, WAC and AWP for all 5 drugs on one timeline, with 10+ years of monthly history.
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Frequently Asked Questions
Is there an available Prochlorperazine Edisylate billing and coding guide?
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Does billing PROCHLORPERAZINE EDISYLATE require JZ/JW wastage modifiers?
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