Products billed under this code include Bupivacaine HCl, Bupivicaine, Marcaine, Marcaine Spinal, Sensorcaine, Sensorcaine MPF, Sensorcaine-MPF.
Payment limit per 0.5 MG, by effective quarter, 3Q23 to 4Q26. Gaps mean the code was not in that quarter’s file, or CMS gave no payment limit.From the 4Q26 NDC–HCPCS crosswalk. “Limit / pkg” is the 4Q26 payment limit times the billing units in one package.
| Product | Labeler | NDC | Units / pkg | Limit / pkg |
|---|---|---|---|---|
| Bupivacaine HCl | Hikma Pharmaceuticals USA Inc. | 00143-9328-10 | 2500 | $25.00 |
| Bupivacaine HCl | Hikma Pharmaceuticals USA Inc. | 00143-9329-10 | 5000 | $50.00 |
| Bupivacaine HCl | Hikma Pharmaceuticals USA Inc. | 00143-9330-10 | 500 | $5.00 |
| Bupivacaine HCl | Hikma Pharmaceuticals USA Inc. | 00143-9331-10 | 1000 | $10.00 |
| Bupivacaine HCl | Hikma Pharmaceuticals USA Inc. | 00143-9332-10 | 1500 | $15.00 |
| Bupivacaine HCl | Hikma Pharmaceuticals USA Inc. | 00143-9333-10 | 1500 | $15.00 |
| Bupivacaine HCl | Hikma Pharmaceuticals USA Inc. | 00143-9334-10 | 3000 | $30.00 |
| Bupivacaine HCl | Hikma Pharmaceuticals USA Inc. | 00143-9335-10 | 4500 | $45.00 |
| Bupivacaine HCl | Henry Schein Inc. | 00404-9826-50 | 250 | $2.50 |
| Bupivacaine HCl | Henry Schein Inc. | 00404-9827-50 | 500 | $5.00 |
| Product | Labeler | NDC | Units / pkg | Limit / pkg |
|---|---|---|---|---|
| Bupivacaine HCl | Pfizer Inc | 00409-1159-01 | 1250 | $12.50 |
| Bupivacaine HCl | Pfizer Inc | 00409-1159-02 | 3750 | $37.50 |
| Bupivacaine HCl | Pfizer Inc | 00409-1159-10 | 3750 | $37.50 |
| Bupivacaine HCl | Pfizer Inc | 00409-1160-01 | 6250 | $62.50 |
| Bupivacaine HCl | Pfizer Inc | 00409-1162-01 | 2500 | $25.00 |
| Bupivacaine HCl | Pfizer Inc | 00409-1162-02 | 7500 | $75.00 |
| Bupivacaine HCl | Pfizer Inc | 00409-1163-01 | 12500 | $125.00 |
| Bupivacaine HCl | Pfizer Inc | 00409-1165-01 | 3750 | $37.50 |
| Bupivacaine HCl | Pfizer Inc | 00409-1165-02 | 11250 | $112.50 |
| Bupivacaine HCl | A-S Medication Solutions | 50090-4516-00 | 500 | $5.00 |
| Bupivacaine HCl | HF Acquisition Co. LLC, DBA HealthFirst | 51662-1396-01 | 500 | $5.00 |
| Bupivacaine HCl | HF Acquisition Co. LLC, DBA HealthFirst | 51662-1396-03 | 12500 | $125.00 |
| Bupivacaine HCl | HF Acquisition Co. LLC, DBA HealthFirst | 51662-1581-03 | 6250 | $62.50 |
| Bupivacaine HCl | Henry Schein Inc. | 52584-0465-57 | 250 | $2.50 |
| Bupivacaine HCl | Henry Schein Inc. | 52584-0467-57 | 500 | $5.00 |
| Bupivacaine HCl | Eugia US LLC | 55150-0167-10 | 1250 | $12.50 |
| Bupivacaine HCl | Eugia US LLC | 55150-0168-30 | 3750 | $37.50 |
| Bupivacaine HCl | Eugia US LLC | 55150-0169-10 | 2500 | $25.00 |
| Bupivacaine HCl | Eugia US LLC | 55150-0170-30 | 7500 | $75.00 |
| Bupivacaine HCl | Eugia US LLC | 55150-0171-10 | 3750 | $37.50 |
| Bupivacaine HCl | Eugia US LLC | 55150-0172-30 | 11250 | $112.50 |
| Bupivacaine HCl | Eugia US LLC | 55150-0249-50 | 6250 | $62.50 |
| Bupivacaine HCl | Eugia US LLC | 55150-0250-50 | 12500 | $125.00 |
| Bupivacaine HCl | Somerset Pharma, LLC | 70069-0752-25 | 6250 | $62.50 |
| Bupivacaine HCl | Xellia Pharmaceuticals USA, LLC. | 70594-0114-02 | 500 | $5.00 |
| Bupivacaine HCl | Xellia Pharmaceuticals USA, LLC. | 70594-0115-01 | 150 | $1.50 |
| Bupivacaine HCl | Xellia Pharmaceuticals USA, LLC. | 70594-0116-01 | 250 | $2.50 |
| Bupivacaine HCl | Xellia Pharmaceuticals USA, LLC. | 70594-0117-02 | 1000 | $10.00 |
| Bupivacaine HCl | Xellia Pharmaceuticals USA, LLC. | 70594-0118-01 | 300 | $3.00 |
| Bupivacaine HCl | Xellia Pharmaceuticals USA, LLC. | 70594-0119-01 | 500 | $5.00 |
| Bupivacaine HCl | Xellia Pharmaceuticals USA, LLC. | 70594-0120-02 | 1500 | $15.00 |
| Bupivacaine HCl | Xellia Pharmaceuticals USA, LLC. | 70594-0121-01 | 450 | $4.50 |
| Bupivacaine HCl | Meitheal Pharmaceuticals Inc. | 71288-0721-11 | 50 | $0.50 |
| Bupivacaine HCl | Meitheal Pharmaceuticals Inc. | 71288-0722-32 | 150 | $1.50 |
| Bupivacaine HCl | Meitheal Pharmaceuticals Inc. | 71288-0723-52 | 250 | $2.50 |
| Bupivacaine HCl | Meitheal Pharmaceuticals Inc. | 71288-0724-11 | 100 | $1.00 |
| Bupivacaine HCl | Meitheal Pharmaceuticals Inc. | 71288-0725-32 | 300 | $3.00 |
| Bupivacaine HCl | Meitheal Pharmaceuticals Inc. | 71288-0726-52 | 500 | $5.00 |
| Bupivacaine HCl | Meitheal Pharmaceuticals Inc. | 71288-0727-11 | 150 | $1.50 |
| Bupivacaine HCl | Meitheal Pharmaceuticals Inc. | 71288-0728-32 | 450 | $4.50 |
| Bupivacaine HCl | Brookfield Pharmaceuticals, LLC | 71351-0022-10 | 300 | $3.00 |
| Bupivacaine HCl | Fosun Pharma Usa Inc. | 72266-0263-10 | 500 | $5.00 |
| Bupivacaine HCl | Fosun Pharma Usa Inc. | 72266-0264-10 | 1000 | $10.00 |
| Bupivacaine HCl | Northstar RxLLC | 72603-0279-25 | 6250 | $62.50 |
| Bupivacaine HCl | Northstar RxLLC | 72603-0287-25 | 12500 | $125.00 |
| Bupivacaine HCl | Northstar RxLLC | 72603-0327-25 | 1250 | $12.50 |
| Bupivacaine HCl | Northstar RxLLC | 72603-0506-10 | 1000 | $10.00 |
| Bupivacaine HCl | Northstar RxLLC | 72603-0506-25 | 2500 | $25.00 |
| Bupivacaine HCl | Northstar RxLLC | 72603-0700-10 | 1500 | $15.00 |
| Bupivacaine HCl | Northstar RxLLC | 72603-0700-25 | 3750 | $37.50 |
| Bupivacaine HCl | Northstar RxLLC | 72603-0800-25 | 11250 | $112.50 |
| Bupivicaine | FreseniUS Kabi USA, LLC | 63323-0464-38 | 1250 | $12.50 |
| Marcaine | Henry Schein Inc. | 00404-9768-30 | 300 | $3.00 |
| Marcaine | Henry Schein Inc. | 00404-9770-10 | 50 | $0.50 |
| Marcaine | Henry Schein Inc. | 00404-9906-10 | 50 | $0.50 |
| Marcaine | Henry Schein Inc. | 00404-9907-10 | 100 | $1.00 |
| Marcaine | Henry Schein Inc. | 00404-9907-30 | 300 | $3.00 |
| Marcaine | Pfizer Inc | 00409-0525-25 | 12500 | $125.00 |
| Marcaine | Pfizer Inc | 00409-1530-25 | 7500 | $75.00 |
| Marcaine | Pfizer Inc | 00409-1559-10 | 500 | $5.00 |
| Marcaine | Pfizer Inc | 00409-1559-30 | 1500 | $15.00 |
| Marcaine | Pfizer Inc | 00409-1560-10 | 1000 | $10.00 |
| Marcaine | Pfizer Inc | 00409-1560-29 | 3000 | $30.00 |
| Marcaine | Pfizer Inc | 00409-1582-10 | 1500 | $15.00 |
| Marcaine | Pfizer Inc | 00409-1582-29 | 4500 | $45.00 |
| Marcaine | Pfizer Inc | 00409-1587-50 | 250 | $2.50 |
| Marcaine | Pfizer Inc | 00409-1610-50 | 500 | $5.00 |
| Marcaine | Pfizer Inc | 00409-2253-25 | 11250 | $112.50 |
| Marcaine | Pfizer Inc | 00409-2510-25 | 1250 | $12.50 |
| Marcaine | Pfizer Inc | 00409-5010-25 | 2500 | $25.00 |
| Marcaine | Pfizer Inc | 00409-7535-25 | 3750 | $37.50 |
| Marcaine Spinal | Pfizer Inc | 00409-1761-10 | 300 | $3.00 |
| Marcaine Spinal | Pfizer Inc | 00409-1761-62 | 24000 | $240.00 |
| Sensorcaine | Henry Schein Inc. | 00404-9945-50 | 250 | $2.50 |
| Sensorcaine | Henry Schein Inc. | 00404-9946-10 | 100 | $1.00 |
| Sensorcaine | Henry Schein Inc. | 00404-9947-50 | 500 | $5.00 |
| Sensorcaine | HF Acquisition Co. LLC, DBA HealthFirst | 51662-1588-03 | 12500 | $125.00 |
| Sensorcaine | HF Acquisition Co. LLC, DBA HealthFirst | 51662-1592-03 | 6250 | $62.50 |
| Sensorcaine | FreseniUS Kabi USA, LLC | 63323-0465-57 | 6250 | $62.50 |
| Sensorcaine | FreseniUS Kabi USA, LLC | 63323-0467-57 | 12500 | $125.00 |
| Sensorcaine MPF | FreseniUS Kabi USA, LLC | 63323-0466-38 | 2500 | $25.00 |
| Sensorcaine-MPF | FreseniUS Kabi USA, LLC | 63323-0464-17 | 1250 | $12.50 |
| Sensorcaine-MPF | FreseniUS Kabi USA, LLC | 63323-0464-37 | 3750 | $37.50 |
| Sensorcaine-MPF | FreseniUS Kabi USA, LLC | 63323-0464-39 | 3750 | $37.50 |
| Sensorcaine-MPF | FreseniUS Kabi USA, LLC | 63323-0466-17 | 2500 | $25.00 |
| Sensorcaine-MPF | FreseniUS Kabi USA, LLC | 63323-0466-37 | 7500 | $75.00 |
| Sensorcaine-MPF | FreseniUS Kabi USA, LLC | 63323-0466-39 | 7500 | $75.00 |
| Sensorcaine-MPF | FreseniUS Kabi USA, LLC | 63323-0472-17 | 3750 | $37.50 |
| Sensorcaine-MPF | FreseniUS Kabi USA, LLC | 63323-0472-37 | 11250 | $112.50 |
| Quarter | Payment limit | Change | Billing unit | Description | Source file |
|---|---|---|---|---|---|
| 4Q26 | $0.01 | −$0.001 | 0.5 MG | Inj, bupivacaine, nos, 0.5mg | v1, posted September 17, 2026 |
| 3Q26 | $0.011 | +$0.001 | 0.5 MG | Inj, bupivacaine, nos, 0.5mg | v1, posted September 15, 2026 |
| 2Q26 | $0.01 | −$0.001 | 0.5 MG | Inj, bupivacaine, nos, 0.5mg | v1, posted September 15, 2026 |
| 1Q26 | $0.011 | +$0.001 | 0.5 MG | Inj, bupivacaine, nos, 0.5mg | v1, posted September 15, 2026 |
| 4Q25 | $0.01 | $0.00 | 0.5 MG | Inj, bupivacaine, nos, 0.5mg | v1, posted September 8, 2026 |
| 3Q25 | $0.01 | $0.00 | 0.5 MG | Inj, bupivacaine, nos, 0.5mg | v1, posted March 10, 2026 |
| 2Q25 | $0.01 | $0.00 | 0.5 MG | Inj, bupivacaine, nos, 0.5mg | v1, posted March 10, 2026 |
| 1Q25 | $0.01 | −$0.001 | 0.5 MG | Inj, bupivacaine, nos, 0.5mg | v1, posted December 19, 2025 |
| 4Q24 | $0.011 | $0.00 | 0.5 MG | Inj, bupivacaine, nos, 0.5mg | v1, posted June 11, 2025 |
| 3Q24 | $0.011 | −$0.004 | 0.5 MG | Inj, bupivacaine, nos, 0.5mg | v1, posted June 11, 2025 |
| 2Q24 | $0.015 | +$0.001 | 0.5 MG | Inj, bupivacaine, nos, 0.5mg | v1, posted March 11, 2025 |
| 1Q24 | $0.014 | −$0.002 | 0.5 MG | Inj, bupivacaine, nos, 0.5mg | v1, posted December 19, 2024 |
| 4Q23 | $0.016 | −$0.005 | 0.5 MG | Inj, bupivacaine, nos, 0.5mg | v1, posted October 10, 2024 |
| 3Q23 | $0.021 | – | 0.5 MG | Inj, bupivacaine, nos, 0.5mg | v1, posted June 5, 2024 |
“Change” is the difference from the previous quarter, shown only when both quarters have a payment limit and the billing unit is the same. “vs. last quarter” and “vs. a year ago” follow the same rule.
