HCPCS code J1163 — Inj, diltiazem hcl, 0.5 mg. Status: Active. Effective Jul 1, 2025. Source: CMS HCPCS Level II.

J1163

Active

Inj, diltiazem hcl, 0.5 mg

Injection, diltiazem hydrochloride, 0.5 mg

Category: Drugs
Section: J-codes: Drugs Administered Other Than Oral Method
Effective: Jul 1, 2025
Code type: alphanumeric
OPPS Status: N — Items / services packaged into APC rates

MUE — Medically Unlikely Edits

Maximum units of J1163 Medicare will pay for one beneficiary on one date of service. Claims exceeding the MUE are denied or returned for review.

Service Type Max Units / Day
DME Supplier 900
Outpatient Hospital 900
Practitioner Services 900

Source: CMS Medicare NCCI Medically Unlikely Edits

NDC Crosswalk

National Drug Codes (NDCs) mapped to this HCPCS code.

NDC Drug Name
00409-4350-03 Diltiazem HCl
00641-6013-10 Diltiazem HCl
00641-6014-10 Diltiazem HCl
00641-6015-10 Diltiazem HCl
00641-9217-10 Diltiazem HCl
00641-9218-10 Diltiazem HCl
00641-9219-10 Diltiazem HCl
25021-0319-05 Diltiazem HCl
25021-0319-10 Diltiazem HCl
25021-0319-25 Diltiazem HCl
51662-1335-01 Diltiazem HCl
51662-1335-02 Diltiazem HCl
51662-1457-01 Diltiazem HCl
51662-1457-03 Diltiazem HCl
55150-0425-10 Diltiazem HCl
55150-0426-10 Diltiazem HCl
55150-0427-10 Diltiazem HCl
63037-0117-05 Diltiazem in NaCl
63037-0119-05 Diltiazem in Dextrose
70860-0301-05 Diltiazem HCl

Change History

Quarterly changes published by CMS. Revisions may affect the code description, coverage, or rate — review each quarter's changes before submitting claims.

  • New Code 2025-Q3
    Inj, diltiazem hcl, 0.5 mg