HCPCS drug code · CMS crosswalk
Ampicillin-Sulbactam J-Code / HCPCS Code
In short
Ampicillin-Sulbactam is billed under HCPCS J0295 — Injection, ampicillin sodium/sulbactam sodium, per 1.5 gm. One billing unit is 1.5 gm. CMS's crosswalk lists 41 Ampicillin-Sulbactam NDCs under this code.
Reference
- J0295
- Injection, ampicillin sodium/sulbactam sodium, per 1.5 gmBilling unit: 1.5 gm
- Labelers
- Armas Pharmaceuticals Inc.; Avenacy Inc.; Civica, Inc.; Eugia US LLC; Hikma Pharmaceuticals USA Inc.; Meitheal Pharmaceuticals Inc.; Northstar RxLLC; Pfizer Incand 3 more
Medicare Part B payment limit
CMS ASP filePayment limit per unit$1.457
Per1.5 gm
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-Sulbactam units and claim line
Enter the dose given to get the J0295 units and the NDC line for the CMS-1500 and the 837P.
Enter the units to build the claim line.
Ampicillin-Sulbactam 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.
| NDC (11-digit) | HCPCS | Labeler | Package | Billing units per package |
|---|---|---|---|---|
| 00409-2689-01 | J0295 | Pfizer Inc | 10 × 1 | 10 |
| 00409-2987-03 | J0295 | Pfizer Inc | 10 × 1 | 20 |
| 00641-6116-10 | J0295 | Hikma Pharmaceuticals USA Inc. | 10 × 1 | 10 |
| 00641-6117-10 | J0295 | Hikma Pharmaceuticals USA Inc. | 10 × 1 | 20 |
| 00641-6118-01 | J0295 | Hikma Pharmaceuticals USA Inc. | 1 | 10 |
| 25021-0142-20 | J0295 | Sagent Pharmaceuticals | 10 × 1 | 10 |
| 25021-0143-30 | J0295 | Sagent Pharmaceuticals | 10 × 1 | 20 |
| 25021-0144-99 | J0295 | Sagent Pharmaceuticals | 30 | 10 |
| 25021-0188-99 | J0295 | Sagent Pharmaceuticals | 1 | 10 |
| 44567-0150-10 | J0295 | WG Critical Care, LLC | 10 × 1 | 20 |
| 44567-0210-10 | J0295 | WG Critical Care, LLC | 10 × 1 | 10 |
| 44567-0211-10 | J0295 | WG Critical Care, LLC | 10 × 1 | 20 |
| 44567-0212-01 | J0295 | WG Critical Care, LLC | 1 | 10 |
| 55150-0116-10 | J0295 | Eugia US LLC | 10 × 1 | 10 |
| 55150-0116-20 | J0295 | Eugia US LLC | 10 × 1 | 10 |
| 55150-0117-10 | J0295 | Eugia US LLC | 10 × 1 | 20 |
| 55150-0117-20 | J0295 | Eugia US LLC | 10 × 1 | 20 |
| 55150-0118-01 | J0295 | Eugia US LLC | 1 | 10 |
| 55150-0118-99 | J0295 | Eugia US LLC | 1 | 10 |
| 66794-0206-41 | J0295 | Piramal Critical Care Inc | 10 × 1 | 10 |
| 66794-0208-15 | J0295 | Piramal Critical Care Inc | 1 | 10 |
| 71288-0005-20 | J0295 | Meitheal Pharmaceuticals Inc. | 10 × 1 | 10 |
| 71288-0006-30 | J0295 | Meitheal Pharmaceuticals Inc. | 10 × 1 | 20 |
| 71288-0007-75 | J0295 | Meitheal Pharmaceuticals Inc. | 1 | 10 |
| 71288-0031-21 | J0295 | Meitheal Pharmaceuticals Inc. | 10 × 1 | 10 |
| 71288-0031-92 | J0295 | Meitheal Pharmaceuticals Inc. | 10 × 1 | 10 |
| 71288-0032-21 | J0295 | Meitheal Pharmaceuticals Inc. | 10 × 1 | 20 |
| 71288-0032-92 | J0295 | Meitheal Pharmaceuticals Inc. | 10 × 1 | 20 |
| 71288-0033-75 | J0295 | Meitheal Pharmaceuticals Inc. | 1 | 10 |
| 71288-0033-91 | J0295 | Meitheal Pharmaceuticals Inc. | 1 | 10 |
| 72485-0416-10 | J0295 | Armas Pharmaceuticals Inc. | 10 × 1 | 10 |
| 72485-0417-10 | J0295 | Armas Pharmaceuticals Inc. | 10 × 1 | 20 |
| 72485-0418-15 | J0295 | Armas Pharmaceuticals Inc. | 1 | 10 |
| 72572-0021-10 | J0295 | Civica, Inc. | 10 × 1 | 10 |
| 72572-0022-10 | J0295 | Civica, Inc. | 10 × 1 | 20 |
| 72572-0136-10 | J0295 | Civica, Inc. | 10 × 1 | 20 |
| 72603-0220-10 | J0295 | Northstar RxLLC | 10 × 1 | 10 |
| 72603-0335-10 | J0295 | Northstar RxLLC | 10 × 1 | 20 |
| 72603-0444-01 | J0295 | Northstar RxLLC | 10 × 1 | 100 |
| 83634-0108-99 | J0295 | Avenacy Inc. | 1 | 10 |
| 83634-0110-20 | J0295 | Avenacy Inc. | 10 × 1 | 20 |
Ampicillin-Sulbactam: common questions
- What is the J-code for Ampicillin-Sulbactam?
- Ampicillin-Sulbactam is billed under HCPCS J0295 — Injection, ampicillin sodium/sulbactam sodium, per 1.5 gm. One billing unit is 1.5 gm. CMS's crosswalk lists 41 Ampicillin-Sulbactam NDCs under this code.
- How many J0295 billing units are in a package of Ampicillin-Sulbactam?
- CMS lists 10 to 100 billing units per package, depending on the NDC, where one unit is 1.5 gm. Units to report are based on the dose given, not the package.
- Is J0295 a CPT code?
- No. J0295 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.