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.

J1335 code details

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 file
Payment limit per unit$5.826
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

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.

Ertapenem NDCs in the CMS ASP crosswalk
NDC (11-digit)HCPCSLabelerPackageBilling units per package
00143-9398-10J1335Hikma Pharmaceuticals USA Inc.10 × 120
00143-9429-10J1335Hikma Pharmaceuticals USA Inc.10 × 120
00409-3510-22J1335Pfizer Inc10 × 120
16714-0889-10J1335Northstar RxLLC10 × 120
25021-0199-20J1335Sagent Pharmaceuticals10 × 120
42023-0221-10J1335Endo USA, Inc.10 × 120
42023-0221-85J1335Endo USA, Inc.10 × 120
43598-0901-58J1335Dr. Reddy's Laboratories Inc.10 × 120
44567-0820-10J1335WG Critical Care, LLC10 × 120
55150-0282-09J1335Eugia US LLC10 × 120
55150-0282-20J1335Eugia US LLC10 × 120
60505-6196-04J1335Apotex Corp10 × 120
63323-0823-20J1335FreseniUS Kabi USA, LLC10 × 120
68001-0408-31J1335BluePoint Laboratories10 × 120
72266-0159-05J1335Fosun Pharma USA Inc.5 × 110
72266-0159-10J1335Fosun Pharma USA Inc.10 × 120

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.

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