Home › Drug Codes › J Codes › J2794 · RISPERDAL CONSTA
Updated July 1st, 2026

RISPERDAL CONSTA J Code: J2794

Injection, risperidone (risperdal consta), 0.5 mg

Login to unlock all benchmarks

Q4 2026 Medicare Payment Limit for J2794, effective October 1, 2026: $10.662 per HCPCS billing unit, down 4.0% from $11.105. From CMS's final file.

?
Medicare Payment Limit ?
$11.105
/ HCPCS billing unit · Q3 2026
APC Payment Limit ?
$11.105
/ HCPCS billing unit · APC 9125
ASP ?
$•••.••
Login to view
WAC · AWP ?
$•••.••
Login to view
NDCs Crosswalked ?
14
View NDC crosswalk →

Drug & Product Overview

HCPCS Descriptor Injection, risperidone (risperdal consta), 0.5 mg
HCPCS Added Date January 1, 2005
Manufacturer Multiple Manufacturers
Route of Administration Intramuscular
Generic Status Multi-Source; Generic
Dosage Type Single-Dose
Dosage Form Kit

About RISPERDAL CONSTA

Risperdal Consta is a medication aligned to the HCPCS J Code: J2794 for billing, pricing, and reimbursement purposes in the United States. It is a Psychiatric drug administered via the intramuscular route and manufactured by multiple companies.

According to CMS Drug Use Information: This medication is used to treat certain mental/mood disorders (such as schizophrenia, bipolar disorder). Risperidone belongs to a class of drugs known as atypical antipsychotics. It works by helping to restore the balance of certain natural substances in the brain.

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 14 NDCs — log in for the full crosswalk.

NDC Code Drug Manufacturer Billing Units / Pkg Package Size
00480-1232-08 Risperidone Teva Pharmaceuticals, Inc. 50 Kit
00480-1342-08 Risperidone Teva Pharmaceuticals, Inc. 75 Kit
50458-0306-11 Risperdal Consta Janssen Pharmaceuticals, Inc. 50 Kit
70121-2626-05 Risperidone Amneal Pharmaceuticals LLC 50 Kit
70748-0270-13 risperidone Lupin Pharmaceuticals, Inc. 50 Kit
•••••-••••-•• Log in to view RISPERDAL CONSTA
RISPERDAL CONSTA
RISPERDAL CONSTA
Login to view 9 more NDC packages View pricing, complete NDC-to-HCPCS alignments, and package details.
Login →

RISPERDAL CONSTA Pricing & Reimbursement

J2794 Private Payer Reimbursement
$11.14 / 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

Risperidone 505(b)(2) Information:

HCPCS Code Manufacturer Active Ingredient HCPCS Description
J2794 Generic Code (Multiple Manufacturers) Risperidone Injection, risperidone (risperdal consta), 0.5 mg
J2798 Indivior Risperidone Injection, risperidone, (perseris), 0.5 mg
J2799 Teva Risperidone Injection, risperidone (uzedy), 1 mg
J2801 Shandong Luye Pharmaceuticals Risperidone Injection, risperidone (rykindo), 0.5 mg

RISPERDAL CONSTA 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
JW / JZ modifiers apply

CMS has identified Risperdal Consta (J2794) as a HCPCS code with single-dose containers. Therefore, the JW/JZ wastage modifiers could be required for billing purposes. Wastage billing guide →

RISPERDAL CONSTA Medically Unlikely Edits (MUE)

The most billing units of J2794 Medicare will pay for one patient in one day, as published by CMS. 1 unit = 0.5 mg.

Practitioner Office & Hospital Outpatient
100 units / day
= 50 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.

RISPERDAL CONSTA 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.

Bipolar I Disorder Schizophrenia

Login for BuyandBill.com Analytics

Unlock deeper insights with BuyandBill’s Comparative Report!

  • Compare ASP, WAC, and AWP across drugs.
  • Visualize Drug Price Movement Over Time
  • Tailor reports to drug class, manufacturer, or HCPCS Code.
  • Compare Biosimilar and 505(b)(2) products.
Access Full Report →

Frequently Asked Questions

Is there an available Risperdal Consta billing and coding guide?
Our team has not identified a manufacturer-published source of billing and coding information for RISPERDAL CONSTA.
Are there any available Risperdal Consta patient assistance programs?
RISPERDAL CONSTA patient assistance information can be found through Janssen. Visit Here →
Where can I find Risperdal Consta prescribing information?
RISPERDAL CONSTA prescribing information can be found at the link below: Visit Here →
Where can I find Risperdal Consta side effect information?
Information regarding RISPERDAL CONSTA's side effects can be found at MedlinePlus Visit Here →
Does billing RISPERDAL CONSTA require JZ/JW wastage modifiers?
CMS has identified RISPERDAL CONSTA(J2794) 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.

About BuyandBill.com:

The BuyandBill.com team is dedicated to delivering high-quality coding and billing information for office-administered drugs. We continuously research HCPCS-coded medications to expand our resources and ensure data accuracy. Manufacturers: click here to sponsor your medication, and we will ensure the most accurate and detailed information is displayed.

Related Drug Codes

Explore billing, coding, and pricing for drugs related to RISPERDAL CONSTA.

J2799UZEDYInjection, risperidone (uzedy), 1 mgTevaAdded January 1, 2024J2798PERSERISInjection, risperidone, (perseris), 0.5 mgIndiviorAdded October 1, 2019C9158UZEDYInjection, risperidone, (uzedy), 1 mgTevaAdded October 1, 2023J0401ABILIFY MAINTENAInjection, aripiprazole (abilify maintena), 1 mgOtsuka America Pharmaceuticals IncAdded January 1, 2014J0402ABILIFY ASIMTUFIIInjection, aripiprazole (abilify asimtufii), 1 mgOtsuka America Pharmaceuticals IncAdded January 1, 2024J3486GEODONInjection, ziprasidone mesylate, 10 mgMultiple ManufacturersAdded January 1, 2004J2801RYKINDOInjection, risperidone (rykindo), 0.5 mgShandong Luye PharmaceuticalsAdded April 1, 2024J0780PROCHLORPERAZINE EDISYLATEInjection, prochlorperazine, up to 10 mgMultiple ManufacturersAdded January 1, 1984J1630HALOPERIDOL LACTATEInjection, haloperidol, up to 5 mgMultiple ManufacturersAdded January 1, 1986J1631HALDOL DECANOATE 100Injection, haloperidol decanoate, per 50 mgMultiple ManufacturersAdded January 1, 1989