In short

J0694 is the HCPCS Level II code for injection, cefoxitin sodium, 1 gm. CMS assigns NDCs for Cefoxitin Sodium to it. The Medicare Part B payment limit is $5.416 per unit (October 1, 2026 through December 31, 2026).

Code

CMS HCPCS file
HCPCS codeJ0694
Billing unitSee descriptor
Descriptor
Injection, cefoxitin sodium, 1 gm
Short descriptor
Cefoxitin sodium injection
Code set
HCPCS Level II, maintained by CMS
Effective
Jan 1, 1997

Medicare Part B payment limit

CMS ASP file
Payment limit per unit$5.416
Per1 gm
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

Enter the dose to get the units and the NDC line for the CMS-1500 and the 837P.

Enter the units to build the claim line.

NDCs billed under J0694

CMS’s ASP NDC–HCPCS crosswalk (effective October 1, 2026 through December 31, 2026) assigns 15 NDCs to J0694 for Cefoxitin Sodium. Billing units per package are CMS’s figures for this code’s unit.

NDCs assigned to J0694 in the CMS ASP crosswalk
DrugNDC (11-digit)LabelerPackageBilling units per package
Cefoxitin Sodium00143-9876-10Hikma Pharmaceuticals USA Inc.10 × 1100
Cefoxitin Sodium00143-9877-25Hikma Pharmaceuticals USA Inc.25 × 150
Cefoxitin Sodium00143-9878-25Hikma Pharmaceuticals USA Inc.25 × 125
Cefoxitin Sodium00264-3123-11B. Braun Medical Inc.24 × 124
Cefoxitin Sodium00264-3125-11B. Braun Medical Inc.24 × 148
Cefoxitin Sodium25021-0109-10Sagent Pharmaceuticals10 × 110
Cefoxitin Sodium25021-0110-20Sagent Pharmaceuticals10 × 120
Cefoxitin Sodium25021-0111-99Sagent Pharmaceuticals10 × 1100
Cefoxitin Sodium44567-0245-25WG Critical Care, LLC25 × 125
Cefoxitin Sodium44567-0246-25WG Critical Care, LLC25 × 150
Cefoxitin Sodium44567-0247-10WG Critical Care, LLC10 × 1100
Cefoxitin Sodium63323-0341-25FreseniUS Kabi USA, LLC25 × 125
Cefoxitin Sodium63323-0341-29FreseniUS Kabi USA, LLC25 × 125
Cefoxitin Sodium63323-0342-25FreseniUS Kabi USA, LLC25 × 150
Cefoxitin Sodium63323-0342-29FreseniUS Kabi USA, LLC25 × 150

J0694: common questions

Is J0694 a CPT code?
No. J0694 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 J0694?
CMS's ASP crosswalk for October 1, 2026 through December 31, 2026 lists 15 NDCs under J0694, for Cefoxitin Sodium. The table on this page shows each one with its billing units per package.
What is the Medicare payment limit for J0694?
$5.416 per 1 gm, 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.

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