`J3480` Inj potassium chloride

Injection, potassium chloride, per 2 meq

Medicare coverage: Special coverage instructions apply
Status: active (October 2026 file)

Medically Unlikely Edits (effective October 1, 2026)

Practitioner: max 40 units per day (clinical), rationale: Clinical: Data
Outpatient hospital: max 200 units per day (clinical), rationale: Clinical: Data
DME supplier: max 0 units per day (clinical), rationale: CMS Policy

Medicare pricing for J3480

Medicare Part B drug payment limit (ASP, October 2026)

J3480 payment limit: $0.13 per 2 MEQ, effective October 1, 2026 through December 31, 2026, based on 2Q26 ASP data. Coinsurance 20%.

NDCs that bill under J3480 (CMS ASP NDC-HCPCS crosswalk, October 2026)

00264-1944-20 Potassium Chloride, B. Braun Medical Inc.: 6000 billing units per package (24 CONTAINER in 1 CASE / 250 mL in 1 CONTAINER)
00264-7865-00 Potassium Chloride, B. Braun Medical Inc.: 120 billing units per package (12 CONTAINER in 1 CASE / 1000 mL in 1 CONTAINER)
00338-0695-04 Potassium Chloride, Baxter Healthcare Corporation: 280 billing units per package (14 BAG in 1 CARTON / 1000 mL in 1 BAG)
00338-0703-41 Potassium Chloride, Baxter Healthcare Corporation: 240 billing units per package (24 BAG in 1 CARTON / 50 mL in 1 BAG)
00338-0703-48 Potassium Chloride, Baxter Healthcare Corporation: 480 billing units per package (24 BAG in 1 CARTON / 100 mL in 1 BAG)
00338-0705-41 Potassium Chloride, Baxter Healthcare Corporation: 120 billing units per package (24 BAG in 1 CARTON / 50 mL in 1 BAG)
00338-0705-48 Potassium Chloride, Baxter Healthcare Corporation: 240 billing units per package (24 BAG in 1 CARTON / 100 mL in 1 BAG)
00338-0709-48 Potassium Chloride, Baxter Healthcare Corporation: 120 billing units per package (24 BAG in 1 CARTON / 100 mL in 1 BAG)
63323-0667-10 Potassium Chloride, FreseniUS Kabi USA, LLC: 50 billing units per package (10 BAG in 1 CASE / 1000 mL in 1 BAG)
63323-0688-10 Potassium Chloride, FreseniUS Kabi USA, LLC: 200 billing units per package (10 BAG in 1 CARTON / 1000 mL in 1 BAG)
63323-0965-05 Potassium Chloride, FreseniUS Kabi USA, LLC: 125 billing units per package (25 VIAL, SINGLE-DOSE in 1 TRAY / 5 mL in 1 VIAL, SINGLE-DOSE)
63323-0965-10 Potassium Chloride, FreseniUS Kabi USA, LLC: 250 billing units per package (25 VIAL, SINGLE-DOSE in 1 TRAY / 10 mL in 1 VIAL, SINGLE-DOSE)
63323-0965-20 Potassium Chloride, FreseniUS Kabi USA, LLC: 500 billing units per package (25 VIAL, SINGLE-DOSE in 1 TRAY / 20 mL in 1 VIAL, SINGLE-DOSE)
63323-0967-30 Potassium Chloride, FreseniUS Kabi USA, LLC: 750 billing units per package (25 VIAL, MULTI-DOSE in 1 TRAY / 30 mL in 1 VIAL, MULTI-DOSE)
65219-0004-01 Potassium Chloride, FreseniUS Kabi USA, LLC: 300 billing units per package (60 BAG in 1 CARTON / 50 mL in 1 BAG)
65219-0006-01 Potassium Chloride, FreseniUS Kabi USA, LLC: 500 billing units per package (50 BAG in 1 CARTON / 100 mL in 1 BAG)
65219-0008-51 Potassium Chloride, FreseniUS Kabi USA, LLC: 600 billing units per package (60 BAG in 1 CARTON / 50 mL in 1 BAG)
65219-0010-01 Potassium Chloride, FreseniUS Kabi USA, LLC: 1000 billing units per package (50 BAG in 1 CARTON / 100 mL in 1 BAG)
65219-0012-01 Potassium Chloride, FreseniUS Kabi USA, LLC: 250 billing units per package (50 BAG in 1 CARTON / 100 mL in 1 BAG)
00404-9936-10 Potassium Chloride, Henry Schein Inc.: 5 billing units per package (1 VIAL, SINGLE-DOSE in 1 BAG / 5 mL in 1 VIAL, SINGLE-DOSE)
00404-9936-20 Potassium Chloride, Henry Schein Inc.: 20 billing units per package (1 VIAL, SINGLE-DOSE in 1 BAG / 20 mL in 1 VIAL, SINGLE-DOSE)
00404-9937-10 Potassium Chloride, Henry Schein Inc.: 10 billing units per package (1 VIAL, SINGLE-DOSE in 1 BAG / 1 mL in 1 VIAL, SINGLE-DOSE)
51662-1387-01 Potassium Chloride, HF Acquisition Co. LLC, DBA HealthFirst: 10 billing units per package (10 mL in 1 VIAL, SINGLE-DOSE)
00990-7074-26 Potassium Chloride, ICu Medical Inc.: 120 billing units per package (24 POUCH in 1 CASE / 1 BAG in 1 POUCH / 100 mL in 1 BAG)
00990-7075-14 Potassium Chloride, ICu Medical Inc.: 120 billing units per package (24 POUCH in 1 CASE / 1 BAG in 1 POUCH / 50 mL in 1 BAG)
00990-7075-26 Potassium Chloride, ICu Medical Inc.: 240 billing units per package (24 POUCH in 1 CASE / 1 BAG in 1 POUCH / 100 mL in 1 BAG)
00990-7077-14 Potassium Chloride, ICu Medical Inc.: 240 billing units per package (24 POUCH in 1 CASE / 1 BAG in 1 POUCH / 50 mL in 1 BAG)
00990-7077-26 Potassium Chloride, ICu Medical Inc.: 480 billing units per package (24 POUCH in 1 CASE / 1 BAG in 1 POUCH / 100 mL in 1 BAG)
00990-7116-09 Potassium Chloride, ICu Medical Inc.: 240 billing units per package (12 POUCH in 1 CASE / 1 BAG in 1 POUCH / 1000 mL in 1 BAG)
14789-0107-05 Potassium Chloride, Nexus Pharmaceuticals, LLC: 240 billing units per package (24 BAG in 1 BOX / 50 mL in 1 BAG)
14789-0108-05 Potassium Chloride, Nexus Pharmaceuticals, LLC: 120 billing units per package (24 BAG in 1 BOX / 50 mL in 1 BAG)
14789-0108-10 Potassium Chloride, Nexus Pharmaceuticals, LLC: 240 billing units per package (24 BAG in 1 BOX / 100 mL in 1 BAG)
14789-0109-10 Potassium Chloride, Nexus Pharmaceuticals, LLC: 120 billing units per package (24 BAG in 1 BOX / 100 mL in 1 BAG)
14789-0136-05 Potassium Chloride, Nexus Pharmaceuticals, LLC: 250 billing units per package
14789-0137-05 Potassium Chloride, Nexus Pharmaceuticals, LLC: 500 billing units per package
00409-6635-01 Potassium Chloride, Pfizer Inc: 125 billing units per package (25 VIAL, SINGLE-DOSE in 1 TRAY / 5 mL in 1 VIAL, SINGLE-DOSE)
00409-6651-06 Potassium Chloride, Pfizer Inc: 250 billing units per package (25 VIAL, SINGLE-DOSE in 1 TRAY / 10 mL in 1 VIAL, SINGLE-DOSE)
00409-6653-05 Potassium Chloride, Pfizer Inc: 500 billing units per package (25 VIAL, SINGLE-DOSE in 1 TRAY / 20 mL in 1 VIAL, SINGLE-DOSE)
00990-7905-09 Potassium Chloride in Dextrose, ICu Medical Inc.: 120 billing units per package (12 POUCH in 1 CASE / 1 BAG in 1 POUCH / 1000 mL in 1 BAG)
00338-0683-04 Potassium Chloride In Dextrose, Baxter Healthcare Corporation: 10 billing units per package (1000 mL in 1 BAG)

And 6 more NDCs.

Physician Fee Schedule (CY 2026, RVU26D)

Status E: excluded from the PFS by regulation.

Payer policies and prior authorization for J3480

Payer coverage policies that name J3480

J3480 appears in 1 coverage policy from Aetna.

Payer	Policy	Role in policy	Reviewed	Document
Aetna	Injectable Medications (0020)	listed, no stance (range J2550-J3520)	Mar 5, 2026	payer document

Medicaid fee-for-service

AZ: $0.14 (outpatient_hospital), effective Jul 1, 2026
FL: $40.00 (physician_administered_drugs), effective Jan 1, 2026
IL: $0.13 (practitioner), effective Apr 1, 2026
IN: $0.09 (professional, Advanced Practice Nurse (85%), non-facility), effective Jan 1, 2023
KS: $0.13 (default), effective Oct 1, 2026
KY: $0.00 (asc), effective Jan 1, 2026
MS: $0.13 (comprehensive), effective Jul 1, 2026
NE: $0.13 (injectables), effective Jul 1, 2026
OH: $0.13 (provider_administered_drugs), effective Jul 1, 2026
OK: $0.00 (outpatient_hospital_apc), effective Jan 1, 2026
TX: $0.12 (nurse_practitioner_clinical_nurse_specialist, Nurse Practitioner/Clinical Nurse Specialist, non-facility), effective Sep 1, 2026
VA: $0.13 (medical), effective Jul 1, 2026
VT: $0.00 (outpatient_hospital_opps), effective Feb 1, 2026
WA: $0.14 (professional_administered_drugs), effective Jul 1, 2026
WY: $0.00 (outpatient_hospital_apc, Children's Hospitals), effective Apr 1, 2026

From payers' published prior-auth lists, coverage policies and state Medicaid fee schedules, updated Oct 16, 2026. The role is what the policy's own code table or text says about the code. Not a guarantee of coverage or payment; verify with the payer. CPT® is a registered trademark of the American Medical Association.

J3480 Inj potassium chloride