Home › Drug Codes › J Codes › J1745 · Remicade
Updated July 1st, 2026

Remicade J Code: J1745

Injection, infliximab, excludes biosimilar, 10 mg

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Q4 2026 Medicare Payment Limit for J1745, effective October 1, 2026: $29.856 per HCPCS billing unit, down 5.2% from $31.479. From CMS's final file.

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Medicare Payment Limit ?
$31.479
/ HCPCS billing unit · Q3 2026
APC Payment Limit ?
$31.479
/ HCPCS billing unit · APC 7043
ASP ?
$•••.••
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WAC · AWP ?
$•••.••
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NDCs Crosswalked ?
2
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Drug & Product Overview

HCPCS Descriptor Injection, infliximab, excludes biosimilar, 10 mg
HCPCS Added Date January 1, 2000
Manufacturer Janssen
Route of Administration Intravenous
Generic Status Single-Source; Branded
Dosage Type Single-Dose
Dosage Form Injection, Powder, Lyophilized, For Solution

About Remicade

Remicade is a medication aligned to the HCPCS J Code: J1745 for billing, pricing, and reimbursement purposes in the United States. Classified under Immunology: Anti-TNF, it is administered via the intravenous route and manufactured by Janssen.

According to CMS Drug Use Information: This medication is used to treat certain types of arthritis (rheumatoid arthritis, arthritis of the spine, psoriatic arthritis), certain bowel diseases (Crohn's disease, ulcerative colitis), and a certain severe skin disease (chronic plaque psoriasis). In these conditions, the body's defense system (immune system) attacks healthy tissues. Infliximab works by blocking the actions of a certain natural substance (tumor necrosis factor alpha) in the body. This helps to decrease swelling (inflammation) and weaken your immune system, which slows or stops the damage from the disease. This monograph is about the following infliximab products: infliximab, infliximab-abda, infliximab-axxq, and infliximab-dyyb.

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. The list of NDCs below is not exhaustive.

NDC Code Drug Manufacturer Billing Units / Pkg Package Size
57894-0030-01 Remicade Janssen Biotech, Inc. 10 100 MG / 10 ML
57894-0160-01 Infliximab Janssen Biotech, Inc. 10 100 MG / 10 ML
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Remicade Pricing & Reimbursement

J1745 Private Payer Reimbursement
$32.32 / 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

Infliximab Biosimilar Information:

Remicade Approval Date: August 24, 1998

Product Name HCPCS Code Active Ingredient BLA Type
Remicade J1745 Infliximab 351(a) Originator Product
Inflectra J1748 Infliximab 351(k) Biosimilar
Inflectra Q5103 Infliximab 351(k) Biosimilar
Renflexis Q5104 Infliximab 351(k) Biosimilar
Avsola Q5121 Infliximab 351(k) Biosimilar

Remicade Claims Performance

Claims from Jan 2026 – Aug 2026
Claim Denial Rate 12.2%
Avg. Days to File 6.7days
Avg. Days to Pay 21.3days

Real-world claims performance from FocalPoint, OnPoint Oncology's reimbursement analytics platform, with claims data accrued at the clearing house level.

Explore J1745 claims analytics on FocalPoint →
OnPoint Oncology

Remicade 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
96413 Chemotherapy administration, intravenous infusion technique; up to 1 hour, single or initial substance/drug
96415 Chemotherapy administration, intravenous infusion technique; each additional hour (List separately in addition to code for primary procedure)
JW / JZ modifiers apply

CMS has identified Remicade (J1745) as a HCPCS code with single-dose containers. Therefore, the JW/JZ wastage modifiers could be required for billing purposes. Wastage billing guide →

Remicade Medically Unlikely Edits (MUE)

The most billing units of J1745 Medicare will pay for one patient in one day, as published by CMS. 1 unit = 10 mg.

Practitioner Office & Hospital Outpatient
150 units / day
= 1,500 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.

Remicade 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.

Ankylosing Spondylitis Crohn's Disease Fistulizing Crohn's Disease Pediatric Crohn's Disease Pediatric Ulcerative Colitis Plaque Psoriasis Psoriatic Arthritis Rheumatoid Arthritis Ulcerative Colitis
Drug Class
Tumor Necrosis Factor Blocker [EPC]Tumor Necrosis Factor Receptor Blocking Activity [MoA]

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Frequently Asked Questions

Is there an available Remicade billing and coding guide?
Billing and coding information for Remicade can be found through Janssen. Visit Here →
Are there any available Remicade patient assistance programs?
Remicade patient assistance information can be found through Janssen. Visit Here →
Where can I find Remicade prescribing information?
Remicade prescribing information can be found at the link below: Visit Here →
Where can I find Remicade side effect information?
Information regarding Remicade's side effects can be found at MedlinePlus Visit Here →
Does billing Remicade require JZ/JW wastage modifiers?
CMS has identified Remicade(J1745) 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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Related Drug Codes

Explore billing, coding, and pricing for drugs related to Remicade.

Q5104RENFLEXISInjection, infliximab-abda, biosimilar, (renflexis), 10 mgOrganonAdded April 1, 2018Q5103INFLECTRAInjection, infliximab-dyyb, biosimilar, (inflectra), 10 mgPfizerAdded April 1, 2018Q5121AvsolaInjection, infliximab-axxq, biosimilar, (avsola), 10 mgAmgenAdded July 1, 2020J1748ZymfentraInjection, infliximab-dyyb (zymfentra), 10 mgCelltrion USAAdded July 1, 2024J0717CIMZIAInjection, certolizumab pegol, 1 mg (code may be used for medicare when drug administered under the direct supervision of a physician, not for use when drug is self administered)UCB PharmaAdded January 1, 2014J1438ENBRELInjection, etanercept, 25 mg (code may be used for medicare when drug administered under the direct supervision of a physician, not for use when drug is self administered)AmgenAdded January 1, 2000J1602SIMPONI ARIAInjection, golimumab, 1 mg, for intravenous useJanssenAdded January 1, 2014J0139HUMIRAInjection, adalimumab, 1 mgAbbvieAdded January 1, 2025J1628TREMFYAInjection, guselkumab, 1 mgJanssenAdded January 1, 2019J3357STELARAUstekinumab, for subcutaneous injection, 1 mgJanssenAdded January 1, 2011