In short

Ampicillin Sodium is billed under HCPCS J0290 — Injection, ampicillin sodium, 500 mg. One billing unit is 500 mg. CMS's crosswalk lists 64 Ampicillin Sodium NDCs under this code.

J0290 code details

Reference

J0290
Injection, ampicillin sodium, 500 mgBilling unit: 500 mg
Labelers
A-S Medication Solutions; Armas Pharmaceuticals Inc.; Athenex Pharmaceutical Division, LLC; Avenacy Inc.; Civica, Inc.; Eugia US LLC; FreseniUS Kabi USA, LLC; HF Acquisition Co. LLC, DBA HealthFirstand 7 more

Medicare Part B payment limit

CMS ASP file
Payment limit per unit$0.619
Per500 mg
Coinsurance20%

Effective October 1, 2026 through December 31, 2026. Payment allowance limits subject to the ASP methodology are based on 2Q26 ASP data. A payment limit is not a coverage decision; the Medicare contractor decides coverage. CMS ASP pricing files

Ampicillin Sodium units and claim line

Enter the dose given to get the J0290 units and the NDC line for the CMS-1500 and the 837P.

Enter the dose given to build the claim line.

Ampicillin Sodium NDCs and billing units

From CMS’s ASP NDC–HCPCS crosswalk, effective October 1, 2026 through December 31, 2026. Billing units per package are CMS’s figures for the code’s unit.

Ampicillin Sodium NDCs in the CMS ASP crosswalk
NDC (11-digit)HCPCSLabelerPackageBilling units per package
00404-9803-99J0290Henry Schein Inc.12
00404-9816-99J0290Henry Schein Inc.12
00404-9818-99J0290Henry Schein Inc.14
00781-3402-95J0290Sandoz Inc.10 × 15
00781-3404-95J0290Sandoz Inc.10 × 120
00781-3407-95J0290Sandoz Inc.10 × 110
00781-3408-95J0290Sandoz Inc.10 × 140
00781-3409-95J0290Sandoz Inc.10 × 1200
00781-3412-92J0290Sandoz Inc.10 × 120
00781-3413-92J0290Sandoz Inc.10 × 140
00781-9242-95J0290Sandoz Inc.10 × 15
00781-9261-95J0290Sandoz Inc.10 × 120
00781-9273-95J0290Sandoz Inc.10 × 140
00781-9402-95J0290Sandoz Inc.10 × 15
00781-9404-95J0290Sandoz Inc.10 × 120
00781-9407-95J0290Sandoz Inc.10 × 110
00781-9408-95J0290Sandoz Inc.10 × 140
00781-9409-95J0290Sandoz Inc.10 × 1200
00781-9412-92J0290Sandoz Inc.10 × 120
00781-9413-92J0290Sandoz Inc.10 × 140
23155-0915-41J0290Heritage Pharmaceuticals Inc.10 × 110
23155-0916-41J0290Heritage Pharmaceuticals Inc.10 × 120
23155-0917-41J0290Heritage Pharmaceuticals Inc.10 × 140
25021-0134-10J0290Sagent Pharmaceuticals10 × 15
25021-0135-10J0290Sagent Pharmaceuticals10 × 110
25021-0136-10J0290Sagent Pharmaceuticals10 × 120
25021-0137-20J0290Sagent Pharmaceuticals10 × 140
25021-0197-99J0290Sagent Pharmaceuticals120
44567-0100-10J0290WG Critical Care, LLC10 × 15
44567-0101-10J0290WG Critical Care, LLC10 × 110
44567-0102-10J0290WG Critical Care, LLC10 × 120
44567-0103-10J0290WG Critical Care, LLC10 × 140
44567-0104-01J0290WG Critical Care, LLC120
50090-4552-00J0290A-S Medication Solutions14
51662-1560-03J0290HF Acquisition Co. LLC, DBA HealthFirst10 × 140
51662-1595-03J0290HF Acquisition Co. LLC, DBA HealthFirst10 × 15
55150-0113-10J0290Eugia US LLC10 × 120
55150-0114-20J0290Eugia US LLC10 × 140
55150-0115-99J0290Eugia US LLC10 × 1200
65219-0014-10J0290FreseniUS Kabi USA, LLC10 × 15
65219-0016-10J0290FreseniUS Kabi USA, LLC10 × 110
65219-0018-10J0290FreseniUS Kabi USA, LLC10 × 120
65219-0020-23J0290FreseniUS Kabi USA, LLC10 × 140
66794-0220-41J0290Piramal Critical Care Inc10 × 15
66794-0222-41J0290Piramal Critical Care Inc10 × 120
66794-0223-41J0290Piramal Critical Care Inc10 × 140
66794-0224-15J0290Piramal Critical Care Inc120
70860-0112-15J0290Athenex Pharmaceutical Division, LLC10 × 15
70860-0113-15J0290Athenex Pharmaceutical Division, LLC10 × 110
70860-0114-15J0290Athenex Pharmaceutical Division, LLC10 × 120
70860-0115-26J0290Athenex Pharmaceutical Division, LLC10 × 140
70860-0118-99J0290Athenex Pharmaceutical Division, LLC120
72485-0421-10J0290Armas Pharmaceuticals Inc.10 × 120
72485-0422-10J0290Armas Pharmaceuticals Inc.10 × 140
72485-0423-10J0290Armas Pharmaceuticals Inc.120
72572-0016-10J0290Civica, Inc.10 × 120
72572-0017-10J0290Civica, Inc.10 × 140
72572-0093-10J0290Civica, Inc.10 × 120
72572-0094-10J0290Civica, Inc.10 × 140
72603-0221-10J0290Northstar RxLLC10 × 110
72603-0363-10J0290Northstar RxLLC10 × 120
72603-0454-10J0290Northstar RxLLC10 × 140
72603-0578-01J0290Northstar RxLLC120
83634-0100-99J0290Avenacy Inc.120

Ampicillin Sodium: common questions

What is the J-code for Ampicillin Sodium?
Ampicillin Sodium is billed under HCPCS J0290 — Injection, ampicillin sodium, 500 mg. One billing unit is 500 mg. CMS's crosswalk lists 64 Ampicillin Sodium NDCs under this code.
How many J0290 billing units are in a package of Ampicillin Sodium?
CMS lists 2 to 200 billing units per package, depending on the NDC, where one unit is 500 mg. Units to report are based on the dose given, not the package.
Is J0290 a CPT code?
No. J0290 is a HCPCS Level II code from CMS for the drug itself. Giving it, for example by injection or infusion, is usually reported with a separate CPT administration code.

Related

Free account

Keep searching with a free account

You’ve used your 3 free searches for this session. Log in or create a free Med-Code account to keep looking up NDCs, J-codes and drugs.

Create a free accountLog in