HCPCS drug code · CMS crosswalk
Ertapenem J-Code / HCPCS Code
In short
Ertapenem is billed under HCPCS J1335 — Injection, ertapenem sodium, 500 mg. One billing unit is 500 mg. CMS's crosswalk lists 16 Ertapenem NDCs under this code.
Reference
- J1335
- Injection, ertapenem sodium, 500 mgBilling unit: 500 mg
- Labelers
- Apotex Corp; BluePoint Laboratories; Dr. Reddy's Laboratories Inc.; Endo USA, Inc.; Eugia US LLC; Fosun Pharma USA Inc.; FreseniUS Kabi USA, LLC; Hikma Pharmaceuticals USA Inc.and 4 more
Medicare Part B payment limit
CMS ASP fileEffective 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
Ertapenem units and claim line
Enter the dose given to get the J1335 units and the NDC line for the CMS-1500 and the 837P.
Enter the dose given to build the claim line.
Ertapenem 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 |
|---|---|---|---|---|
| 00143-9398-10 | J1335 | Hikma Pharmaceuticals USA Inc. | 10 × 1 | 20 |
| 00143-9429-10 | J1335 | Hikma Pharmaceuticals USA Inc. | 10 × 1 | 20 |
| 00409-3510-22 | J1335 | Pfizer Inc | 10 × 1 | 20 |
| 16714-0889-10 | J1335 | Northstar RxLLC | 10 × 1 | 20 |
| 25021-0199-20 | J1335 | Sagent Pharmaceuticals | 10 × 1 | 20 |
| 42023-0221-10 | J1335 | Endo USA, Inc. | 10 × 1 | 20 |
| 42023-0221-85 | J1335 | Endo USA, Inc. | 10 × 1 | 20 |
| 43598-0901-58 | J1335 | Dr. Reddy's Laboratories Inc. | 10 × 1 | 20 |
| 44567-0820-10 | J1335 | WG Critical Care, LLC | 10 × 1 | 20 |
| 55150-0282-09 | J1335 | Eugia US LLC | 10 × 1 | 20 |
| 55150-0282-20 | J1335 | Eugia US LLC | 10 × 1 | 20 |
| 60505-6196-04 | J1335 | Apotex Corp | 10 × 1 | 20 |
| 63323-0823-20 | J1335 | FreseniUS Kabi USA, LLC | 10 × 1 | 20 |
| 68001-0408-31 | J1335 | BluePoint Laboratories | 10 × 1 | 20 |
| 72266-0159-05 | J1335 | Fosun Pharma USA Inc. | 5 × 1 | 10 |
| 72266-0159-10 | J1335 | Fosun Pharma USA Inc. | 10 × 1 | 20 |
Ertapenem: common questions
- What is the J-code for Ertapenem?
- Ertapenem is billed under HCPCS J1335 — Injection, ertapenem sodium, 500 mg. One billing unit is 500 mg. CMS's crosswalk lists 16 Ertapenem NDCs under this code.
- How many J1335 billing units are in a package of Ertapenem?
- CMS lists 10 to 20 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 J1335 a CPT code?
- No. J1335 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.