HCPCS drug code · CMS crosswalk
Cefoxitin Sodium J-Code / HCPCS Code
In short
Cefoxitin Sodium is billed under HCPCS J0694 — Injection, cefoxitin sodium, 1 gm. One billing unit is 1 gm. CMS's crosswalk lists 15 Cefoxitin Sodium NDCs under this code.
Reference
- J0694
- Injection, cefoxitin sodium, 1 gmBilling unit: 1 gm
- Labelers
- B. Braun Medical Inc.; FreseniUS Kabi USA, LLC; Hikma Pharmaceuticals USA Inc.; Sagent Pharmaceuticals; WG Critical Care, LLC
Medicare Part B payment limit
CMS ASP filePayment limit per unit$5.416
Per1 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
Cefoxitin Sodium units and claim line
Enter the dose given to get the J0694 units and the NDC line for the CMS-1500 and the 837P.
Enter the units to build the claim line.
Cefoxitin 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.
| NDC (11-digit) | HCPCS | Labeler | Package | Billing units per package |
|---|---|---|---|---|
| 00143-9876-10 | J0694 | Hikma Pharmaceuticals USA Inc. | 10 × 1 | 100 |
| 00143-9877-25 | J0694 | Hikma Pharmaceuticals USA Inc. | 25 × 1 | 50 |
| 00143-9878-25 | J0694 | Hikma Pharmaceuticals USA Inc. | 25 × 1 | 25 |
| 00264-3123-11 | J0694 | B. Braun Medical Inc. | 24 × 1 | 24 |
| 00264-3125-11 | J0694 | B. Braun Medical Inc. | 24 × 1 | 48 |
| 25021-0109-10 | J0694 | Sagent Pharmaceuticals | 10 × 1 | 10 |
| 25021-0110-20 | J0694 | Sagent Pharmaceuticals | 10 × 1 | 20 |
| 25021-0111-99 | J0694 | Sagent Pharmaceuticals | 10 × 1 | 100 |
| 44567-0245-25 | J0694 | WG Critical Care, LLC | 25 × 1 | 25 |
| 44567-0246-25 | J0694 | WG Critical Care, LLC | 25 × 1 | 50 |
| 44567-0247-10 | J0694 | WG Critical Care, LLC | 10 × 1 | 100 |
| 63323-0341-25 | J0694 | FreseniUS Kabi USA, LLC | 25 × 1 | 25 |
| 63323-0341-29 | J0694 | FreseniUS Kabi USA, LLC | 25 × 1 | 25 |
| 63323-0342-25 | J0694 | FreseniUS Kabi USA, LLC | 25 × 1 | 50 |
| 63323-0342-29 | J0694 | FreseniUS Kabi USA, LLC | 25 × 1 | 50 |
Cefoxitin Sodium: common questions
- What is the J-code for Cefoxitin Sodium?
- Cefoxitin Sodium is billed under HCPCS J0694 — Injection, cefoxitin sodium, 1 gm. One billing unit is 1 gm. CMS's crosswalk lists 15 Cefoxitin Sodium NDCs under this code.
- How many J0694 billing units are in a package of Cefoxitin Sodium?
- CMS lists 10 to 100 billing units per package, depending on the NDC, where one unit is 1 gm. Units to report are based on the dose given, not the package.
- Is J0694 a CPT code?
- No. J0694 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.