Home › Drug Codes › J Codes › J3485 · RETROVIR
Updated July 1st, 2026

RETROVIR J Code: J3485

Injection, zidovudine, 10 mg

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Q4 2026 Medicare Payment Limit for J3485, effective October 1, 2026: $1.513 per HCPCS billing unit, unchanged from Q3 2026. From CMS's final file.

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Medicare Payment Limit ?
$1.513
/ HCPCS billing unit · Q3 2026
APC Payment Limit ?
$1.513
/ HCPCS billing unit · APC 1744
ASP ?
$•••.••
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WAC · AWP ?
$•••.••
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NDCs Crosswalked ?
1
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Drug & Product Overview

HCPCS Descriptor Injection, zidovudine, 10 mg
HCPCS Added Date January 1, 2001
Manufacturer ViiV
Route of Administration Intravenous
Generic Status Single-Source; Branded
Dosage Type Single-Dose
Dosage Form Injection, Solution

About RETROVIR

Retrovir is a medication aligned to the HCPCS J Code: J3485 for billing, pricing, and reimbursement purposes in the United States. Classified under Anti-HIV, it is administered via the intravenous route and manufactured by ViiV.

Manufacturers, reach out to us to add more information.

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
49702-0213-26 Retrovir ViiV Healthcare Company 100 200 MG / 20 ML
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RETROVIR Pricing & Reimbursement

J3485 Private Payer Reimbursement
$1.39 / 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

RETROVIR 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
96365 Intravenous infusion, for therapy, prophylaxis, or diagnosis (specify substance or drug); initial, up to 1 hour
96366 Intravenous infusion, for therapy, prophylaxis, or diagnosis (specify substance or drug); each additional hour (List separately in addition to code for primary procedure)
Not on the CMS JW / JZ list

CMS does not include Retrovir (J3485) on its list of HCPCS pertaining to single-dose containers. Per CMS guidelines, the JZ/JW wastage modifiers may not apply when billing J3485. Wastage billing guide →

RETROVIR Medically Unlikely Edits (MUE)

The most billing units of J3485 Medicare will pay for one patient in one day, as published by CMS. 1 unit = 10 mg.

Practitioner Office & Hospital Outpatient
160 units / day
= 1,600 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 →

mg Enter a dose to see how many billing units it is and whether it is under the limit.

RETROVIR 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.

HIV-1 infection Prevention of maternal-fetal HIV-1 transmission
Drug Class
Human Immunodeficiency Virus Nucleoside Analog Reverse Transcriptase Inhibitor [EPC]Nucleoside Reverse Transcriptase Inhibitors [MoA]

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Frequently Asked Questions

Is there an available Retrovir billing and coding guide?
Our team has not identified a manufacturer-published source of billing and coding information for RETROVIR.
Are there any available Retrovir patient assistance programs?
RETROVIR patient assistance information can be found through ViiV. Visit Here →
Where can I find Retrovir prescribing information?
RETROVIR prescribing information can be found at the link below: Visit Here →
Where can I find Retrovir side effect information?
Information regarding RETROVIR's side effects can be found at MedlinePlus Visit Here →
Does billing RETROVIR require JZ/JW wastage modifiers?
CMS does not include RETROVIR (J3485) on its list of HCPCS pertaining to single-dose containers. Per CMS guidelines, the JZ/JW wastage modifiers may not apply when billing J3485. For more information, visit the link below.

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