HCPCS drug code · CMS crosswalk
Sulfamethoxazole-Trimethoprim J-Code / HCPCS Code
In short
Sulfamethoxazole-Trimethoprim is billed under HCPCS J2865 — Injection, sulfamethoxazole 5 mg and trimethoprim 1 mg. One billing unit is 5mg-1mg. CMS's crosswalk lists 9 Sulfamethoxazole-Trimethoprim NDCs under this code.
Reference
- J2865
- Injection, sulfamethoxazole 5 mg and trimethoprim 1 mgBilling unit: 5mg-1mg
- Labelers
- Somerset Pharma, LLC; Teva Parenteral Medicines, Inc.
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
Sulfamethoxazole-Trimethoprim units and claim line
Enter the dose given to get the J2865 units and the NDC line for the CMS-1500 and the 837P.
Enter the dose given to build the claim line.
Sulfamethoxazole-Trimethoprim 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 |
|---|---|---|---|---|
| 00703-9503-03 | J2865 | Teva Parenteral Medicines, Inc. | 10 × 5 | 800 |
| 00703-9514-03 | J2865 | Teva Parenteral Medicines, Inc. | 10 × 10 | 1600 |
| 00703-9514-83 | J2865 | Teva Parenteral Medicines, Inc. | 10 × 10 | 1600 |
| 00703-9514-93 | J2865 | Teva Parenteral Medicines, Inc. | 10 × 10 | 1600 |
| 00703-9526-01 | J2865 | Teva Parenteral Medicines, Inc. | 30 | 480 |
| 70069-0361-10 | J2865 | Somerset Pharma, LLC | 10 × 5 | 800 |
| 70069-0362-10 | J2865 | Somerset Pharma, LLC | 10 × 10 | 1600 |
| 70069-0363-01 | J2865 | Somerset Pharma, LLC | 30 | 480 |
| 00703-9526-81 | J2865 | Teva Parenteral Medicines, Inc. | 30 | 480 |
Sulfamethoxazole-Trimethoprim: common questions
- What is the J-code for Sulfamethoxazole-Trimethoprim?
- Sulfamethoxazole-Trimethoprim is billed under HCPCS J2865 — Injection, sulfamethoxazole 5 mg and trimethoprim 1 mg. One billing unit is 5mg-1mg. CMS's crosswalk lists 9 Sulfamethoxazole-Trimethoprim NDCs under this code.
- How many J2865 billing units are in a package of Sulfamethoxazole-Trimethoprim?
- CMS lists 480 to 1,600 billing units per package, depending on the NDC, where one unit is 5mg-1mg. Units to report are based on the dose given, not the package.
- Is J2865 a CPT code?
- No. J2865 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.