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HCPCS J7070 · Level II · Part B drug

HCPCS J7070: Infusion, d5w, 1000 cc

Reviewed by QuickIntell RCM Editorial Team · Last reviewed

Data effective
Data currency: ASP payment limits October 2026 (effective October 1, 2026); MUE and NCCI edits 2026 Q4 (effective October 1, 2026); OPPS Addendum B July 2026 (effective July 1, 2026). Next CMS release: January 1, 2027 (ASP, MUE, NCCI and OPPS quarterly updates).

Key facts for J7070

Billing unit
1000 CC
D5w infusion
ASP payment limit
$3.37
October 2026; +18.4% vs July 2026
Practitioner MUE
4
MAI 3
OPPS status
SI N
NCCI exposure
no PTP pairs
Coverage articles
0
none list this code

TL;DR

HCPCS J7070 is the Level II code for Infusion, d5w, 1000 cc, billed per 1000 CC. The Medicare Part B ASP payment limit for October 2026 is $3.37 per billing unit, up 18.4% from July 2026. The practitioner MUE allows up to 4 units per date of service (MAI 3). Under OPPS it carries status indicator N. J7070 is billed in units of 1000 CC; the quantity administered, the NDC package and the units on the claim must reconcile, which is the check that prevents CARC 16 and 151 returns on this line. The ASP crosswalk maps 25 NDCs to it, sold as Dextrose by B. Braun Medical Inc., Baxter Healthcare Corporation, Pfizer Inc. No current Billing and Coding Article lists J7070, so coverage follows the FDA label, compendia and any applicable NCD.

Medicare Part B payment limit (ASP)

CMS sets the Part B payment limit for J7070 at $3.37 per 1000 CC for October 2026, derived from manufacturer average sales price plus 6%, compared with $2.847 in July 2026. Beneficiary coinsurance is 20%.

ASP payment limits for J7070
QuarterPayment limitPerCoinsurance
October 2026$3.371000 CC20%
July 2026$2.8471000 CC—
Source: CMS Medicare Part B Drug Payment Limit File. Commercial and Medicaid payers set their own rates.

NDC to HCPCS billing-unit conversion

The October 2026 ASP crosswalk maps 25 NDCs from 6 labelers to J7070. Report the NDC in the claim's drug segment and bill the number of J7070 units that equals the quantity administered divided by 1000 CC; the last column gives units per full package.

NDCs that crosswalk to J7070
NDCDrug nameLabelerPackage sizeBilling units / package
00264-7510-00DextroseB. Braun Medical Inc.1000 × 1212
00264-7510-10DextroseB. Braun Medical Inc.500 × 2412
00264-7510-20DextroseB. Braun Medical Inc.250 × 246
00338-0017-02DextroseBaxter Healthcare Corporation250 × 11
00338-0017-03DextroseBaxter Healthcare Corporation500 × 11
00338-0017-04DextroseBaxter Healthcare Corporation1000 × 11
00338-0062-30DextroseBaxter Healthcare Corporation250 × 308
00338-0066-20DextroseBaxter Healthcare Corporation500 × 2010
00338-0070-10DextroseBaxter Healthcare Corporation1000 × 1010
00338-0074-30DextroseBaxter Healthcare Corporation250 × 308
00338-0078-20DextroseBaxter Healthcare Corporation500 × 2010
00409-7100-02DextrosePfizer Inc250 × 246
00990-7922-02DextroseICu Medical Inc.250 × 246
00990-7922-03DextroseICu Medical Inc.500 × 2412
00990-7922-09DextroseICu Medical Inc.1000 × 1212
00990-7922-55DextroseICu Medical Inc.500 × 158
51662-1493-01DextroseHF Acquisition Co. LLC, DBA HealthFirst250 × 11
63323-0624-10DextroseFreseniUS Kabi USA, LLC1000 × 1010
63323-0624-74DextroseFreseniUS Kabi USA, LLC250 × 308
63323-0624-75DextroseFreseniUS Kabi USA, LLC500 × 2010
65219-0238-25DextroseFreseniUS Kabi USA, LLC250 × 308
65219-0240-50DextroseFreseniUS Kabi USA, LLC500 × 2010
65219-0458-30DextroseFreseniUS Kabi USA, LLC250 × 308
65219-0460-20DextroseFreseniUS Kabi USA, LLC500 × 2010
65219-0462-10DextroseFreseniUS Kabi USA, LLC1000 × 1010

Medically Unlikely Edits (MUE)

CMS publishes 3 MUE values for J7070. For practitioners the limit is 4 units per date of service with adjudication indicator 3, a date-of-service clinical edit: units above the limit deny but can be paid on appeal with documentation that the quantity was medically reasonable.

MUE values for J7070 by setting
SettingMUE (units/DOS)MAICMS rationale
Practitioner services43 Date of Service Edit: ClinicalClinical: Data
Facility outpatient hospital73 Date of Service Edit: ClinicalClinical: Data
DME supplier03 Date of Service Edit: ClinicalCMS Policy

NCCI edits and add-on relationships

No active practitioner PTP pair lists J7070 as a column-1 or column-2 code in v323r0. Drug supply codes are rarely bundled; the administration codes billed with them are where PTP edits usually apply.

J7070 is neither an add-on code nor a designated primary code in the 2026 Q4 NCCI add-on edit file.

Medicare coverage articles

No current Billing and Coding Article lists J7070 in its HCPCS table. Coverage then follows the drug's FDA label, compendia and any National Coverage Determination; check the Medicare Coverage Database before administering off-label.

Hospital outpatient (OPPS) status

In the July 2026 OPPS Addendum B, J7070 carries status indicator N. Status N means payment is packaged into the associated procedure and no separate OPPS payment is made.

Common denials for J7070 and how to prevent them

CARC 16 · M119

NDC missing, invalid or not matched to the HCPCS code

CARC 151 · N362

units billed exceed the MUE for the date of service

CARC 50 · N115

diagnosis not covered by the applicable coverage article or LCD

How QuickIntell checks J7070 before the claim leaves

QuickCode validates the NDC-to-unit conversion against the current ASP crosswalk, checks units against every published MUE setting and flags PTP and add-on conflicts on the same claim. QuickRCM routes CARC 16, 151 and 50 denials on drug lines with the matching coverage article attached so the appeal starts with evidence.

Explore QuickCodeExplore QuickRCMBook a demo

Frequently asked questions — HCPCS J7070

What does HCPCS code J7070 describe?

J7070 is defined by CMS as "Infusion, d5w, 1000 cc". Each billing unit represents 1000 CC, so the units reported on the claim must equal the dose administered divided by that unit.

What is the Medicare reimbursement for J7070 in October 2026?

The ASP-based payment limit is $3.37 per 1000 CC, with 20% beneficiary coinsurance. Medicare Administrative Contractors apply this limit; commercial payers use their own fee schedules. The July 2026 limit was $2.847.

How many units of J7070 can be billed per day?

The practitioner Medically Unlikely Edit is 4 units per date of service with adjudication indicator 3 (3 Date of Service Edit: Clinical). MAI 3 edits can be appealed with documentation that the units were medically reasonable. CMS cites "Clinical: Data" as the rationale.

Which NDCs map to J7070?

The October 2026 ASP crosswalk lists 25 NDCs from 6 labelers: Dextrose (B. Braun Medical Inc.); Dextrose (Baxter Healthcare Corporation); Dextrose (Pfizer Inc); Dextrose (ICu Medical Inc.). For example NDC 00264-7510-00 is a 1000 package equal to 12 billing units. The crosswalk's billing-units-per-package figure converts each package into J7070 units.

Does J7070 have NCCI bundling edits?

No active practitioner PTP pairs list J7070 as a column-1 or column-2 code in the v323r0 release. Unit limits (MUE) and medical-necessity coverage rules still apply.

Sources

Every figure on this page is taken from the CMS publications below, as released by the Centers for Medicare & Medicaid Services. Projection built 2026-10-01. Verify against the primary file before billing or contracting decisions.

Disclaimer

This page is an operational reference compiled from CMS publications: the Medicare Part B drug payment limit and NDC crosswalk files, NCCI MUE and add-on edit tables, aggregate PTP statistics, OPPS Addendum B and the Medicare Coverage Database. Payment limits are Medicare national amounts; commercial and Medicaid payers differ. CPT codes are shown as numbers only; CPT descriptors are copyright AMA. Nothing here is legal, clinical or billing advice.