Home › Drug Codes › J Codes › J3415 · PYRIDOXINE HCL

Updated July 1st, 2026

PYRIDOXINE HCL J Code: J3415

Injection, pyridoxine hcl, 100 mg

Medicare Payment Limit ?

$12.941

/ HCPCS billing unit · Q3 2026

APC Payment Limit ?

Not published

CMS publishes none for Q3 2026

ASP ?

$•••.••

WAC · AWP ?

$•••.••

NDCs Crosswalked ?

View NDC crosswalk →

Drug & Product Overview

HCPCS Descriptor Injection, pyridoxine hcl, 100 mg

HCPCS Added Date January 1, 2004

Manufacturer Fresenius Kabi

Route of Administration Intramuscular, Intravenous

Generic Status Single-Source; Branded

Dosage Type Multi-Dose

Dosage Form Injection, Solution

About PYRIDOXINE HCL

Pyridoxine HCL is a medication aligned to the HCPCS J Code: J3415 for billing, pricing, and reimbursement purposes in the United States. It is a Misc. drug administered via the intramuscular or intravenous routes and manufactured by Fresenius Kabi.

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

NDC Code	Drug	Manufacturer	Billing Units / Pkg	Package Size
63323-0180-01	Pyridoxine Hydrochloride	Fresenius Kabi USA, LLC	25	100 MG / 1 ML
•••••-••••-•• Log in to view	PYRIDOXINE HCL

Login to view 1 more NDC package View pricing, complete NDC-to-HCPCS alignments, and package details.

PYRIDOXINE HCL Pricing & Reimbursement

J3415 Private Payer Reimbursement

$15.42 / HCPCS unit as of Jan 2026

National median reimbursement across major commercial payers.

Create an account on PayerPrice for more information →

Historical Graphing and Billing Calculator

per HCPCS unit

As of Q3 2026

PYRIDOXINE HCL CPT Administration Codes

CPT Code	Description
96372	Therapeutic, prophylactic, or diagnostic injection (specify substance or drug); intramuscular

Not on the CMS JW / JZ list

CMS does not include Pyridoxine HCL (J3415) on its list of HCPCS pertaining to single-dose containers. Per CMS guidelines, the JZ/JW wastage modifiers may not apply when billing J3415. Wastage billing guide →

PYRIDOXINE HCL Medically Unlikely Edits (MUE)

The most billing units of J3415 Medicare will pay for one patient in one day, as published by CMS. 1 unit = 100 mg.

Practitioner Office & Hospital Outpatient

6 units / day

= 600 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 →

PYRIDOXINE HCL 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.

INH poisoning (ingestion of >10 g INH) Pyridoxine deficiency — dietary deficiency Pyridoxine deficiency — drug-induced (INH) Vitamin B6 dependency syndrome

Drug Class

Analogs/Derivatives [Chemical/Ingredient]Vitamin B 6 [Chemical/Ingredient]Vitamin B6 Analog [EPC]

Frequently Asked Questions

Is there an available Pyridoxine Hcl billing and coding guide?

Our team has not identified a manufacturer-published source of billing and coding information for PYRIDOXINE HCL.

Are there any available Pyridoxine Hcl patient assistance programs?

PYRIDOXINE HCL patient assistance information can be found through Fresenius Kabi. Visit Here →

Where can I find Pyridoxine Hcl prescribing information?

PYRIDOXINE HCL prescribing information can be found at the link below: Visit Here →

Where can I find Pyridoxine Hcl side effect information?

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

Does billing PYRIDOXINE HCL require JZ/JW wastage modifiers?

CMS does not include PYRIDOXINE HCL (J3415) on its list of HCPCS pertaining to single-dose containers. Per CMS guidelines, the JZ/JW wastage modifiers may not apply when billing J3415. For more information, visit the link below.

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PYRIDOXINE HCL Pricing

Q3 2026

J3415

Medicare Payment Limit per HCPCS unit

$12.941

Medicare Co-Insurance20% · per HCPCS unit $2.59

APC Payment Limit per HCPCS unit

Not published

ASP · WAC · AWP per HCPCS unit and NDC package

NDC Crosswalk

2 NDCs

63323-0180-01 · +1 more View full NDC crosswalk →

Brand Resources

Patient Assistance via kabicare.us Prescribing Information (PI) via accessdata.fda.gov

For manufacturers

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Free Tools for J3415

Billing CalculatorUnits, doses and wastage math Drug Comparative GraphingChart two drugs side by side Medically Unlikely EditsDaily unit caps by care setting