HCPCS drug code · CMS crosswalk
Cefepime J-Code / HCPCS Code
In short
Cefepime is billed under HCPCS J0692 — Injection, cefepime hydrochloride, 500 mg. One billing unit is 500 mg. CMS's crosswalk lists 21 Cefepime NDCs under this code.
Reference
- J0692
- Injection, cefepime hydrochloride, 500 mgBilling unit: 500 mg
- Labelers
- Apotex Corp; Hikma Pharmaceuticals USA Inc.; Pfizer Inc; Piramal Critical Care Inc; Sagent Pharmaceuticals; WG Critical Care, LLC
Medicare Part B payment limit
CMS ASP filePayment limit per unit$1.292
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
Cefepime units and claim line
Enter the dose given to get the J0692 units and the NDC line for the CMS-1500 and the 837P.
Enter the dose given to build the claim line.
Cefepime 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 |
|---|---|---|---|---|
| 00143-9382-10 | J0692 | Hikma Pharmaceuticals USA Inc. | 10 × 1 | 20 |
| 00143-9383-10 | J0692 | Hikma Pharmaceuticals USA Inc. | 10 × 1 | 40 |
| 00409-9566-10 | J0692 | Pfizer Inc | 10 × 1 | 20 |
| 00409-9735-10 | J0692 | Pfizer Inc | 10 × 1 | 40 |
| 25021-0121-20 | J0692 | Sagent Pharmaceuticals | 10 × 1 | 20 |
| 25021-0121-66 | J0692 | Sagent Pharmaceuticals | 10 × 1 | 20 |
| 25021-0122-50 | J0692 | Sagent Pharmaceuticals | 10 × 1 | 40 |
| 25021-0122-67 | J0692 | Sagent Pharmaceuticals | 10 × 1 | 40 |
| 44567-0130-10 | J0692 | WG Critical Care, LLC | 10 × 1 | 20 |
| 44567-0131-10 | J0692 | WG Critical Care, LLC | 10 × 1 | 40 |
| 44567-0240-10 | J0692 | WG Critical Care, LLC | 10 × 1 | 20 |
| 44567-0241-10 | J0692 | WG Critical Care, LLC | 10 × 1 | 40 |
| 60505-6144-04 | J0692 | Apotex Corp | 10 × 1 | 20 |
| 60505-6145-04 | J0692 | Apotex Corp | 10 × 1 | 40 |
| 60505-6146-00 | J0692 | Apotex Corp | 1 | 2 |
| 60505-6146-04 | J0692 | Apotex Corp | 10 × 1 | 20 |
| 60505-6147-00 | J0692 | Apotex Corp | 1 | 4 |
| 60505-6147-04 | J0692 | Apotex Corp | 10 × 1 | 40 |
| 60505-6245-04 | J0692 | Apotex Corp | 10 × 1 | 20 |
| 60505-6246-04 | J0692 | Apotex Corp | 10 × 1 | 40 |
| 66794-0209-41 | J0692 | Piramal Critical Care Inc | 10 × 1 | 20 |
Cefepime: common questions
- What is the J-code for Cefepime?
- Cefepime is billed under HCPCS J0692 — Injection, cefepime hydrochloride, 500 mg. One billing unit is 500 mg. CMS's crosswalk lists 21 Cefepime NDCs under this code.
- How many J0692 billing units are in a package of Cefepime?
- CMS lists 2 to 40 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 J0692 a CPT code?
- No. J0692 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.