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.

J2865 code details

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 file
Payment limit per unit$0.034
Per5mg-1mg
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

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.

Sulfamethoxazole-Trimethoprim NDCs in the CMS ASP crosswalk
NDC (11-digit)HCPCSLabelerPackageBilling units per package
00703-9503-03J2865Teva Parenteral Medicines, Inc.10 × 5800
00703-9514-03J2865Teva Parenteral Medicines, Inc.10 × 101600
00703-9514-83J2865Teva Parenteral Medicines, Inc.10 × 101600
00703-9514-93J2865Teva Parenteral Medicines, Inc.10 × 101600
00703-9526-01J2865Teva Parenteral Medicines, Inc.30480
70069-0361-10J2865Somerset Pharma, LLC10 × 5800
70069-0362-10J2865Somerset Pharma, LLC10 × 101600
70069-0363-01J2865Somerset Pharma, LLC30480
00703-9526-81J2865Teva Parenteral Medicines, Inc.30480

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.

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