In short

Ceftriaxone in D5W is billed under HCPCS J0696 — Injection, ceftriaxone sodium, per 250 mg. One billing unit is 250 mg. CMS's crosswalk lists 4 Ceftriaxone in D5W NDCs under this code.

J0696 code details

Reference

J0696
Injection, ceftriaxone sodium, per 250 mgBilling unit: 250 mg
Labelers
B. Braun Medical Inc.; Baxter Healthcare Corporation

Medicare Part B payment limit

CMS ASP file
Payment limit per unit$0.39
Per250 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

Ceftriaxone in D5W units and claim line

Enter the dose given to get the J0696 units and the NDC line for the CMS-1500 and the 837P.

Enter the dose given to build the claim line.

Ceftriaxone in D5W 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.

Ceftriaxone in D5W NDCs in the CMS ASP crosswalk
NDC (11-digit)HCPCSLabelerPackageBilling units per package
00264-3153-11J0696B. Braun Medical Inc.24 × 196
00264-3155-11J0696B. Braun Medical Inc.24 × 1192
00338-5002-41J0696Baxter Healthcare Corporation24 × 5096
00338-5003-41J0696Baxter Healthcare Corporation24 × 50192

Ceftriaxone in D5W: common questions

What is the J-code for Ceftriaxone in D5W?
Ceftriaxone in D5W is billed under HCPCS J0696 — Injection, ceftriaxone sodium, per 250 mg. One billing unit is 250 mg. CMS's crosswalk lists 4 Ceftriaxone in D5W NDCs under this code.
How many J0696 billing units are in a package of Ceftriaxone in D5W?
CMS lists 96 to 192 billing units per package, depending on the NDC, where one unit is 250 mg. Units to report are based on the dose given, not the package.
Is J0696 a CPT code?
No. J0696 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.

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