HCPCS drug code · CMS crosswalk
Zinacef J-Code / HCPCS Code
In short
Zinacef is billed under HCPCS J0697 — Injection, sterile cefuroxime sodium, per 750 mg. One billing unit is 750 mg. CMS's crosswalk lists 2 Zinacef NDCs under this code.
Reference
- J0697
- Injection, sterile cefuroxime sodium, per 750 mgBilling unit: 750 mg
- Labelers
- Hikma Pharmaceuticals USA Inc.
Medicare Part B payment limit
CMS ASP filePayment limit per unit$2.106
Per750 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
Zinacef units and claim line
Enter the dose given to get the J0697 units and the NDC line for the CMS-1500 and the 837P.
Enter the dose given to build the claim line.
Zinacef 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 |
|---|---|---|---|---|
| 00143-9977-22 | J0697 | Hikma Pharmaceuticals USA Inc. | 25 × 1 | 50 |
| 00143-9979-22 | J0697 | Hikma Pharmaceuticals USA Inc. | 25 × 1 | 25 |
Zinacef: common questions
- What is the J-code for Zinacef?
- Zinacef is billed under HCPCS J0697 — Injection, sterile cefuroxime sodium, per 750 mg. One billing unit is 750 mg. CMS's crosswalk lists 2 Zinacef NDCs under this code.
- How many J0697 billing units are in a package of Zinacef?
- CMS lists 25 to 50 billing units per package, depending on the NDC, where one unit is 750 mg. Units to report are based on the dose given, not the package.
- Is J0697 a CPT code?
- No. J0697 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.