`J7040` Normal saline solution infus

Infusion, normal saline solution, sterile (500 ml = 1 unit)

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

Medically Unlikely Edits (effective October 1, 2026)

Practitioner: max 6 units per day (clinical), rationale: Clinical: Data
Outpatient hospital: max 12 units per day (clinical), rationale: Clinical: Data
DME supplier: max 0 units per day (clinical), rationale: CMS Policy

Medicare pricing for J7040

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

J7040 payment limit: $1.385 per 500 ML, effective October 1, 2026 through December 31, 2026, based on 2Q26 ASP data. Coinsurance 20%.

NDCs that bill under J7040 (CMS ASP NDC-HCPCS crosswalk, October 2026)

00264-5802-00 Sodium Chloride, B. Braun Medical Inc.: 24 billing units per package (12 CONTAINER in 1 CASE / 1000 mL in 1 CONTAINER)
00264-5802-10 Sodium Chloride, B. Braun Medical Inc.: 24 billing units per package (24 CONTAINER in 1 CASE / 500 mL in 1 CONTAINER)
00264-7800-00 Sodium Chloride, B. Braun Medical Inc.: 24 billing units per package (12 CONTAINER in 1 CASE / 1000 mL in 1 CONTAINER)
00264-7800-09 Sodium Chloride, B. Braun Medical Inc.: 24 billing units per package (12 CONTAINER in 1 CASE / 1000 mL in 1 CONTAINER)
00264-7800-10 Sodium Chloride, B. Braun Medical Inc.: 24 billing units per package (24 CONTAINER in 1 CASE / 500 mL in 1 CONTAINER)
00264-7800-20 Sodium Chloride, B. Braun Medical Inc.: 12 billing units per package (24 CONTAINER in 1 CASE / 250 mL in 1 CONTAINER)
00338-0049-02 Sodium Chloride, Baxter Healthcare Corporation: 1 billing unit per package (250 mL in 1 BAG)
00338-0049-03 Sodium Chloride, Baxter Healthcare Corporation: 1 billing unit per package (500 mL in 1 BAG)
00338-0049-04 Sodium Chloride, Baxter Healthcare Corporation: 2 billing units per package (1000 mL in 1 BAG)
00338-9543-01 Sodium Chloride, Baxter Healthcare Corporation: 15 billing units per package (250 mL in 1 BAG)
00338-9543-02 Sodium Chloride, Baxter Healthcare Corporation: 1 billing unit per package (250 mL in 1 BAG)
00338-9543-03 Sodium Chloride, Baxter Healthcare Corporation: 1 billing unit per package (500 mL in 1 BAG)
00338-9543-04 Sodium Chloride, Baxter Healthcare Corporation: 20 billing units per package (500 mL in 1 BAG)
00338-9543-05 Sodium Chloride, Baxter Healthcare Corporation: 2 billing units per package (1000 mL in 1 BAG)
00338-9543-06 Sodium Chloride, Baxter Healthcare Corporation: 20 billing units per package (1000 mL in 1 BAG)
00338-9791-40 Sodium Chloride, Baxter Healthcare Corporation: 20 billing units per package (40 BAG in 1 CARTON / 250 mL in 1 BAG)
00338-9793-12 Sodium Chloride, Baxter Healthcare Corporation: 24 billing units per package (12 BAG in 1 CARTON / 1000 mL in 1 BAG)
00338-9804-40 Sodium Chloride, Baxter Healthcare Corporation: 20 billing units per package (40 BAG in 1 CARTON / 250 mL in 1 BAG)
00338-9806-12 Sodium Chloride, Baxter Healthcare Corporation: 24 billing units per package (12 BAG in 1 CARTON / 1000 mL in 1 BAG)
00338-9808-24 Sodium Chloride, Baxter Healthcare Corporation: 24 billing units per package (24 BAG in 1 CARTON / 500 mL in 1 BAG)
00338-9810-24 Sodium Chloride, Baxter Healthcare Corporation: 24 billing units per package (24 BAG in 1 CARTON / 500 mL in 1 BAG)
63323-0623-74 Sodium Chloride, FreseniUS Kabi USA, LLC: 15 billing units per package (250 mL in 1 BAG)
63323-0623-75 Sodium Chloride, FreseniUS Kabi USA, LLC: 20 billing units per package (500 mL in 1 BAG)
63323-0623-76 Sodium Chloride, FreseniUS Kabi USA, LLC: 20 billing units per package (1000 mL in 1 BAG)
65219-0222-25 Sodium Chloride, FreseniUS Kabi USA, LLC: 15 billing units per package (30 BAG in 1 CASE / 250 mL in 1 BAG)
65219-0224-50 Sodium Chloride, FreseniUS Kabi USA, LLC: 20 billing units per package (20 BAG in 1 CASE / 500 mL in 1 BAG)
65219-0282-10 Sodium Chloride, FreseniUS Kabi USA, LLC: 20 billing units per package (10 BAG in 1 CASE / 1000 mL in 1 BAG)
65219-0470-30 Sodium Chloride, FreseniUS Kabi USA, LLC: 15 billing units per package (30 BAG in 1 CASE / 250 mL in 1 BAG)
65219-0472-20 Sodium Chloride, FreseniUS Kabi USA, LLC: 20 billing units per package (20 BAG in 1 CASE / 500 mL in 1 BAG)
65219-0474-10 Sodium Chloride, FreseniUS Kabi USA, LLC: 20 billing units per package (10 BAG in 1 CASE / 1000 mL in 1 BAG)
51662-1517-01 Sodium Chloride, HF Acquisition Co. LLC, DBA HealthFirst: 1 billing unit per package (1 BAG in 1 POUCH / 250 mL in 1 BAG)
51662-1518-01 Sodium Chloride, HF Acquisition Co. LLC, DBA HealthFirst: 2 billing units per package (1 BAG in 1 POUCH / 1000 mL in 1 BAG)
51662-1522-01 Sodium Chloride, HF Acquisition Co. LLC, DBA HealthFirst: 1 billing unit per package (500 mL in 1 BAG)
00990-7983-02 Sodium Chloride, ICu Medical Inc.: 12 billing units per package (24 POUCH in 1 CASE / 1 BAG in 1 POUCH / 250 mL in 1 BAG)
00990-7983-03 Sodium Chloride, ICu Medical Inc.: 24 billing units per package (24 POUCH in 1 CASE / 1 BAG in 1 POUCH / 500 mL in 1 BAG)
00990-7983-09 Sodium Chloride, ICu Medical Inc.: 24 billing units per package (12 POUCH in 1 CASE / 1 BAG in 1 POUCH / 1000 mL in 1 BAG)
00990-7983-55 Sodium Chloride, ICu Medical Inc.: 18 billing units per package (18 POUCH in 1 CASE / 1 BAG in 1 POUCH / 500 mL in 1 BAG)
00487-4301-25 Sodium Chloride, Nephron SC, Inc.: 18 billing units per package (35 BAG in 1 CASE / 250 mL in 1 BAG)
00487-4301-50 Sodium Chloride, Nephron SC, Inc.: 18 billing units per package (18 BAG in 1 CASE / 500 mL in 1 BAG)
00409-7101-02 Sodium Chloride, Pfizer Inc: 12 billing units per package (24 POUCH in 1 CASE / 1 BAG in 1 POUCH / 250 mL in 1 BAG)

And 3 more NDCs.

Physician Fee Schedule (CY 2026, RVU26D)

Status E: excluded from the PFS by regulation.

Payer policies and prior authorization for J7040

Payer coverage policies that name J7040

J7040 appears in 2 coverage policies from Aetna, BlueCross BlueShield of South Carolina.

Payer	Policy	Role in policy	Reviewed	Document
Aetna	Dialysis (0541)	covered if criteria are met	Aug 26, 2026	payer document
BlueCross BlueShield of South Carolina	IV Hydration (CAM 929)	listed, no stance	Jul 1, 2026	payer document

Medicaid fee-for-service

AZ: $1.35 (outpatient_hospital), effective Jul 1, 2026
FL: $6.00 (physician_administered_drugs), effective Jan 1, 2026
IN: $1.22 (professional, Advanced Practice Nurse (85%), non-facility), effective Jul 1, 2023
KS: $1.04 (default, Exempt Physician), effective Oct 1, 2026
KY: $0.00 (asc), effective Jan 1, 2026
LA: $1.35 (professional), effective Jul 1, 2026
MS: $1.36 (comprehensive), effective Jul 1, 2026
NE: $1.35 (injectables), effective Jul 1, 2026
OH: $1.35 (provider_administered_drugs), effective Jul 1, 2026
OK: $0.00 (outpatient_hospital_apc), effective Jan 1, 2026
TX: $1.29 (nurse_practitioner_clinical_nurse_specialist, Nurse Practitioner/Clinical Nurse Specialist, non-facility), effective Sep 1, 2026
VA: $1.35 (medical), effective Apr 1, 2026
VT: $0.00 (outpatient_hospital_opps), effective Feb 1, 2026
WA: $1.35 (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.

J7040 Normal saline solution infus