In short

Cefuroxime Sodium is billed under HCPCS J0697 — Injection, sterile cefuroxime sodium, per 750 mg. One billing unit is 750 mg. CMS's crosswalk lists 4 Cefuroxime Sodium NDCs under this code.

J0697 code details

Reference

J0697
Injection, sterile cefuroxime sodium, per 750 mgBilling unit: 750 mg
Labelers
Hikma Pharmaceuticals USA Inc.; Sagent Pharmaceuticals

Medicare Part B payment limit

CMS ASP file
Payment limit per unit$2.106
Per750 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

Cefuroxime Sodium units and claim line

Enter the dose given to get the J0697 units and the NDC line for the CMS-1500 and the 837P.

Enter the dose given to build the claim line.

Cefuroxime 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.

Cefuroxime Sodium NDCs in the CMS ASP crosswalk
NDC (11-digit)HCPCSLabelerPackageBilling units per package
00143-9567-25J0697Hikma Pharmaceuticals USA Inc.25 × 150
00143-9568-25J0697Hikma Pharmaceuticals USA Inc.25 × 125
25021-0118-10J0697Sagent Pharmaceuticals25 × 125
25021-0119-20J0697Sagent Pharmaceuticals25 × 150

Cefuroxime Sodium: common questions

What is the J-code for Cefuroxime Sodium?
Cefuroxime Sodium is billed under HCPCS J0697 — Injection, sterile cefuroxime sodium, per 750 mg. One billing unit is 750 mg. CMS's crosswalk lists 4 Cefuroxime Sodium NDCs under this code.
How many J0697 billing units are in a package of Cefuroxime Sodium?
CMS lists 25 to 50 billing units per package, depending on the NDC, where one unit is 750 mg. Units to report are based on the dose given, not the package.
Is J0697 a CPT code?
No. J0697 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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