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Remicade (J1745) billing units

1 billing unit = 10 mg

400 mg dose → 40 billing units

J1745 · infliximab

100 mg single-dose vial · JW/JZ waste rules may apply

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Calculate this patient's billing units

Typical Remicade dose: 5 mg/kg

40 billing units
80 kg × 5 mg/kg = 400 mg
400 mg ÷ 10 mg/unit = 40 units
Vials
4 × 100 mg
Discarded drug
0 mg
Modifier
JZ
Claim line
J1745 × 40 JZ
Infusion admin: 96413 × 1 · 96415 × 1 · assumes a 2-hour infusion

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Remicade · 400 mg · 40 units

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CareCost result · Original Medicare

Patient responsibility

$311.28

This patient's dose · deductible met · example plan

Drug responsibility$251.83
Infusion + visit$59.45
Copay assistanceNone open for IBD on Medicare

Commercial estimates use the patient's payer-specific allowed rate and benefits.

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Remicade billing reference

How to calculate Remicade billing units

Remicade J1745 is billed in units of 10 mg. Ordered dose ÷ 10 mg = billing units. Example: 400 mg ÷ 10 mg = 40 billing units.

Multiply the dose in mg by 1 unit per 10 mg, then round up to the next whole unit (1 unit = 10 mg). Vials are billed in whole 100 mg single-dose units, so the units drawn from the vial are often more than the units actually administered — report the difference with JW on its own claim line, and use JZ only when nothing was discarded.

Medicare pays $31.479 per billing unit (ASP+6%, per 10 mg), effective for claims in Q3 2026 — $1,259.16 for the 40-unit example above.

Common Remicade billing-unit examples

DoseBilling units
100 mg10
200 mg20
300 mg30
400 mg40
500 mg50
600 mg60
700 mg70
800 mg80
900 mg90
1,000 mg100

JW and JZ modifiers for Remicade

JZ — no discarded drug from a single-dose container. JW — discarded drug from a single-dose container, reported on its own claim line.

80 kg patient, 5 mg/kg (no waste): 400 mg ÷ 10 = 40 units administered. 400 mg ÷ 100 = 4 vials drawn = 40 units drawn. Drawn equals administered, so bill J1745 × 40 JZ · 96413 × 1 · 96415 × 1.
75 kg patient, 5 mg/kg (waste, two claim lines): 375 mg ÷ 10 = 38 units administered (rounded up). 375 mg ÷ 100 = 4 vials drawn = 40 units drawn. 40 − 38 = 2 units discarded, billed on their own JW line: J1745 × 38 · J1745 × 2 JW · 96413 × 1 · 96415 × 1.

Remicade infusion administration codes

Show administration codes ▾

96413 covers the initial hour of a chemotherapy/complex-biologic infusion; 96415 is an add-on for each additional hour. Infliximab is billed under this code family as a complex biologic agent administration, so a Remicade infusion running about two hours reports 96413 × 1 and 96415 × 1. Some payers require the non-chemotherapy codes 96365 and 96366 instead; follow the payer's policy.

Vial sizes and reconstitution

Remicade is supplied as a 100 mg single-dose lyophilized powder vial — there is no other vial size. The infliximab biosimilars (Inflectra, Avsola, Renflexis) are packaged to match, also as 100 mg single-dose vials. Reconstitute with 10 mL of sterile water for injection to yield a 10 mg/mL solution, then dilute into the infusion bag. Janssen Biotech NDC for Remicade: 57894-030-01. See the FDA Remicade label (BLA 103772) for the full reconstitution and administration instructions.

Code family

J1745 is the reference-product code for Remicade; four biosimilar Q-codes cover the rest of the infliximab family — Q5103, Q5104, Q5109 and Q5121 — each billed under its own HCPCS rather than J1745. See the HCPCS hub for coding across the full family. The Medicare rate for every quarter is on the cost page →

Frequently asked questions

How many billing units are in a 100 mg vial of Remicade?

10 billing units.

How many units do I bill for 400 mg of Remicade?

40 billing units.

What is the J-code for Remicade?

J1745.

Does Remicade require JW or JZ?

Use JZ when no drug is discarded from the single-dose container. Use JW, on its own line, for the discarded amount.

How do I calculate what the patient will owe?

CareCost combines the drug units, payer allowed rate, patient benefits, and available financial assistance to calculate patient responsibility. Calculate this patient's estimate →

How many units do I bill for an infliximab dose?

Divide the total dose in mg by 10 and round up to the next whole unit (1 billing unit = 10 mg). An 80 kg patient at 5 mg/kg is 400 mg, which bills as 40 units.

Why does the JW modifier apply more often to infliximab than to fixed-dose drugs?

Infliximab is dosed mg/kg for every indication and supplied only in 100 mg single-dose vials, so the calculated dose rarely lands on an exact multiple of 100 mg. The gap between units drawn and units administered is reported on its own JW line.

Are infliximab admin codes chemo or non-chemo?

Infliximab administration is billed with 96413 (initial hour) and 96415 (each additional hour), the codes CPT designates for chemotherapy and other complex drug or biologic administration. Some payers require the non-chemotherapy codes 96365 and 96366 instead; follow the payer's policy.

What is the Q3 2026 Medicare reimbursement for J1745 Remicade?

$31.479 per billing unit (ASP+6%, per 10 mg), effective for claims in Q3 2026.

Sources

Q3 2026 ASP, effective July 1 · payer policies verified May 2026 · page reviewed

Sources: CMS ASP pricing files (Q3 2026); manufacturer prescribing information (Janssen, Pfizer, Organon, Amgen, 2025–2026); 30 commercial payer medical policies verified May 2026; CPT codebook administration-code guidance.