Home › Drug Codes › J Codes › J0802 · PURIFIED CORTROPHIN GEL
Updated July 1st, 2026

PURIFIED CORTROPHIN GEL J Code: J0802

Injection, corticotropin (ani), up to 40 units

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Q4 2026 Medicare Payment Limit for J0802, effective October 1, 2026: $3,646.455 per HCPCS billing unit, down 0.8% from $3,674.678. From CMS's final file.

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Medicare Payment Limit ?
$3,674.678
/ HCPCS billing unit · Q3 2026
APC Payment Limit ?
$3,674.678
/ HCPCS billing unit · APC 9275
ASP ?
$•••.••
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WAC · AWP ?
$•••.••
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NDCs Crosswalked ?
4
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Self-Administered Drug Exclusion 7 Medicare Administrative Contractors list J0802 as usually self-administered and exclude it from Part B coverage in their jurisdictions. Check the article for your MAC before billing: CGS, First Coast, Noridian (A53032), Noridian (A53033), Novitas, Palmetto, Wellpoint Federal, WPS · All SAD lists →

Drug & Product Overview

HCPCS Descriptor Injection, corticotropin (ani), up to 40 units
HCPCS Added Date October 1, 2023
Manufacturer ANI Pharmaceuticals, Inc
Route of Administration Intramuscular, Subcutaneous
Generic Status Single-Source; Branded
Dosage Type Multi-Dose
Dosage Form Injection

About PURIFIED CORTROPHIN GEL

Purified Cortrophin GEL is a medication aligned to the HCPCS J Code: J0802 for billing, pricing, and reimbursement purposes in the United States. It is an Immunosuppressant drug administered via the intramuscular or subcutaneous routes and manufactured by ANI Pharmaceuticals, Inc.

According to CMS Drug Use Information: This medication is used to treat a certain type of seizure in children (infantile spasms). This medication is also used to treat conditions such as multiple sclerosis, arthritis, lupus, eye conditions, skin/kidney/lung diseases, and immune system disorders. It decreases your immune system's response to various diseases to reduce symptoms such as swelling, pain, and allergic-type reactions. Corticotropin is a hormone.

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

NDC Code Drug Manufacturer Billing Units / Pkg Package Size
62559-0860-11 Purified Cortrophin Gel ANI Pharmaceuticals, Inc. 2 Purified Cortrophin Ge l Intramuscular … Login for More
62559-0860-15 Purified Cortrophin Gel ANI Pharmaceuticals, Inc. 10 Purified Cortrophin Ge l Intramuscular … Login for More
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PURIFIED CORTROPHIN GEL
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PURIFIED CORTROPHIN GEL Pricing & Reimbursement

J0802 Private Payer Reimbursement
$3,580.62 / 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

PURIFIED CORTROPHIN GEL 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
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 →

PURIFIED CORTROPHIN GEL Medically Unlikely Edits (MUE)

The most billing units of J0802 Medicare will pay for one patient in one day, as published by CMS. 1 unit = up to 40 units.

Practitioner Office & Hospital Outpatient
3 units / day
Same limit in both settings

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 →

PURIFIED CORTROPHIN GEL 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.

Psoriatic arthritis Rheumatoid arthritis (including juvenile rheumatoid arthritis) Ankylosing spondylitis Acute gouty arthritis Systemic lupus erythematosus Systemic dermatomyositis (polymyositis) Severe erythema multiforme (Stevens–Johnson syndrome) Severe psoriasis Atopic dermatitis Serum sickness Allergic conjunctivitis Keratitis Iritis Iridocyclitis Diffuse posterior uveitis Choroiditis Optic neuritis Chorioretinitis Anterior segment inflammation Symptomatic sarcoidosis Nephrotic syndrome without uremia (idiopathic or due to lupus erythematosus) Multiple sclerosis (acute exacerbations)
Drug Class
Adrenocorticotropic Hormone [CS]Adrenocorticotropic Hormone [EPC]

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Frequently Asked Questions

Is there an available Purified Cortrophin Gel billing and coding guide?
Billing and coding information for PURIFIED CORTROPHIN GEL can be found through ANI PHARMACEUTICALS, INC.. Visit Here →
Are there any available Purified Cortrophin Gel patient assistance programs?
PURIFIED CORTROPHIN GEL patient assistance information can be found through ANI PHARMACEUTICALS, INC.. Visit Here →
Where can I find Purified Cortrophin Gel prescribing information?
PURIFIED CORTROPHIN GEL prescribing information can be found at the link below: Visit Here →
Where can I find Purified Cortrophin Gel side effect information?
Our team has not yet identified a source of side effects information for PURIFIED CORTROPHIN GEL. Please check back in a few weeks.
Does billing PURIFIED CORTROPHIN GEL require JZ/JW wastage modifiers?
CMS does not include PURIFIED CORTROPHIN GEL (J0802) on its list of HCPCS pertaining to single-dose containers. Per CMS guidelines, the JZ/JW wastage modifiers may not apply when billing J0802. For more information, visit the link below.

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