HCPCS drug code · CMS crosswalk
Zevtera J-Code / HCPCS Code
In short
Zevtera is billed under HCPCS J0681 — Injection, ceftobiprole medocaril sodium, 3 mg. One billing unit is 3 mg. CMS's crosswalk lists 1 Zevtera NDC under this code.
Reference
- J0681
- Injection, ceftobiprole medocaril sodium, 3 mgBilling unit: 3 mg
- Labelers
- La Jolla Pharmaceutical Company
Medicare Part B payment limit
CMS ASP filePayment limit per unit$1.098
Per3 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
Zevtera units and claim line
Enter the dose given to get the J0681 units and the NDC line for the CMS-1500 and the 837P.
Enter the dose given to build the claim line.
Zevtera 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 |
|---|---|---|---|---|
| 68547-0578-10 | J0681 | La Jolla Pharmaceutical Company | 10 × 1 | 2224 |
Zevtera: common questions
- What is the J-code for Zevtera?
- Zevtera is billed under HCPCS J0681 — Injection, ceftobiprole medocaril sodium, 3 mg. One billing unit is 3 mg. CMS's crosswalk lists 1 Zevtera NDC under this code.
- How many J0681 billing units are in a package of Zevtera?
- CMS lists 2,224 billing units per package, depending on the NDC, where one unit is 3 mg. Units to report are based on the dose given, not the package.
- Is J0681 a CPT code?
- No. J0681 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.