HCPCS drug code · CMS crosswalk
Sivextro J-Code / HCPCS Code
In short
Sivextro is billed under HCPCS J3090 — Injection, tedizolid phosphate, 1 mg. One billing unit is 1 mg. CMS's crosswalk lists 1 Sivextro NDC under this code.
Reference
- J3090
- Injection, tedizolid phosphate, 1 mgBilling unit: 1 mg
- Labelers
- Merck Sharp & Dohme LLC
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. CMS note: Inflation-adjusted coinsurance. A payment limit is not a coverage decision; the Medicare contractor decides coverage. CMS ASP pricing files
Sivextro units and claim line
Enter the dose given to get the J3090 units and the NDC line for the CMS-1500 and the 837P.
Enter the dose given to build the claim line.
Sivextro 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 |
|---|---|---|---|---|
| 67919-0040-02 | J3090 | Merck Sharp & Dohme LLC | 10 × 1 | 2000 |
Sivextro: common questions
- What is the J-code for Sivextro?
- Sivextro is billed under HCPCS J3090 — Injection, tedizolid phosphate, 1 mg. One billing unit is 1 mg. CMS's crosswalk lists 1 Sivextro NDC under this code.
- How many J3090 billing units are in a package of Sivextro?
- CMS lists 2,000 billing units per package, depending on the NDC, where one unit is 1 mg. Units to report are based on the dose given, not the package.
- Is J3090 a CPT code?
- No. J3090 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.