In short

J0692 is the HCPCS Level II code for injection, cefepime hydrochloride, 500 mg. CMS assigns NDCs for Cefepime and Maxipime to it. One billing unit is 500 mg. The Medicare Part B payment limit is $1.292 per unit (October 1, 2026 through December 31, 2026).

Code

CMS HCPCS file
HCPCS codeJ0692
Billing unit500 mg
Descriptor
Injection, cefepime hydrochloride, 500 mg
Short descriptor
Cefepime hcl for injection
Code set
HCPCS Level II, maintained by CMS
Effective
Jan 1, 2002

The billing unit is read from the descriptor. Confirm it against the CMS file before billing.

Medicare Part B payment limit

CMS ASP file
Payment limit per unit$1.292
Per500 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

Units and claim line

Units = dose given ÷ 500 mg. For example, 50000 mg is 100 units. Enter the dose to get the units and the NDC line for the CMS-1500 and the 837P.

Enter the dose given to build the claim line.

NDCs billed under J0692

CMS’s ASP NDC–HCPCS crosswalk (effective October 1, 2026 through December 31, 2026) assigns 23 NDCs to J0692 for Cefepime and Maxipime. Billing units per package are CMS’s figures for this code’s unit.

NDCs assigned to J0692 in the CMS ASP crosswalk
DrugNDC (11-digit)LabelerPackageBilling units per package
Cefepime00143-9382-10Hikma Pharmaceuticals USA Inc.10 × 120
Cefepime00143-9383-10Hikma Pharmaceuticals USA Inc.10 × 140
Cefepime00409-9566-10Pfizer Inc10 × 120
Cefepime00409-9735-10Pfizer Inc10 × 140
Cefepime25021-0121-20Sagent Pharmaceuticals10 × 120
Cefepime25021-0121-66Sagent Pharmaceuticals10 × 120
Cefepime25021-0122-50Sagent Pharmaceuticals10 × 140
Cefepime25021-0122-67Sagent Pharmaceuticals10 × 140
Cefepime44567-0130-10WG Critical Care, LLC10 × 120
Cefepime44567-0131-10WG Critical Care, LLC10 × 140
Cefepime44567-0240-10WG Critical Care, LLC10 × 120
Cefepime44567-0241-10WG Critical Care, LLC10 × 140
Cefepime60505-6144-04Apotex Corp10 × 120
Cefepime60505-6145-04Apotex Corp10 × 140
Cefepime60505-6146-00Apotex Corp12
Cefepime60505-6146-04Apotex Corp10 × 120
Cefepime60505-6147-00Apotex Corp14
Cefepime60505-6147-04Apotex Corp10 × 140
Cefepime60505-6245-04Apotex Corp10 × 120
Cefepime60505-6246-04Apotex Corp10 × 140
Cefepime66794-0209-41Piramal Critical Care Inc10 × 120
Maxipime63323-0326-20FreseniUS Kabi USA, LLC10 × 120
Maxipime63323-0340-20FreseniUS Kabi USA, LLC10 × 140

J0692: common questions

Is J0692 a CPT code?
No. J0692 is a HCPCS Level II code, maintained by CMS, that identifies the drug supplied. CPT codes are five-digit numbers from the AMA that describe services. Giving the drug, for example an injection or infusion, is usually reported with a separate CPT administration code. CPT codes for drug administration.
What NDCs are billed under J0692?
CMS's ASP crosswalk for October 1, 2026 through December 31, 2026 lists 23 NDCs under J0692, for Cefepime and Maxipime. The table on this page shows each one with its billing units per package.
What is the Medicare payment limit for J0692?
$1.292 per 500 mg, effective October 1, 2026 through December 31, 2026, from CMS's Part B drug payment limit file. Multiply by the units billed for the allowed amount before deductible and coinsurance. It is not a coverage decision.
What is one billing unit of J0692?
One unit of J0692 is 500 mg, as stated in the code's descriptor. Units to report = dose given ÷ 500 mg. J-code billing units.

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