In short

J0712 is the HCPCS Level II code for injection, ceftaroline fosamil, 10 mg. CMS assigns NDCs for Ceftaroline Fosamil and Teflaro to it. One billing unit is 10 mg. The Medicare Part B payment limit is $4.008 per unit (October 1, 2026 through December 31, 2026).

Code

CMS HCPCS file
HCPCS codeJ0712
Billing unit10 mg
Descriptor
Injection, ceftaroline fosamil, 10 mg
Short descriptor
Ceftaroline fosamil inj
Code set
HCPCS Level II, maintained by CMS
Effective
Jan 1, 2016

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$4.008
Per10 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 ÷ 10 mg. For example, 1000 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 J0712

CMS’s ASP NDC–HCPCS crosswalk (effective October 1, 2026 through December 31, 2026) assigns 4 NDCs to J0712 for Ceftaroline Fosamil and Teflaro. Billing units per package are CMS’s figures for this code’s unit.

NDCs assigned to J0712 in the CMS ASP crosswalk
DrugNDC (11-digit)LabelerPackageBilling units per package
Ceftaroline Fosamil60505-6124-01Apotex Corp.10 × 1400
Ceftaroline Fosamil60505-6125-01Apotex Corp.10 × 1600
Teflaro00456-0400-10Allergan, Inc.10 × 1400
Teflaro00456-0600-10Allergan, Inc.10 × 1600

J0712: common questions

Is J0712 a CPT code?
No. J0712 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 J0712?
CMS's ASP crosswalk for October 1, 2026 through December 31, 2026 lists 4 NDCs under J0712, for Ceftaroline Fosamil and Teflaro. The table on this page shows each one with its billing units per package.
What is the Medicare payment limit for J0712?
$4.008 per 10 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 J0712?
One unit of J0712 is 10 mg, as stated in the code's descriptor. Units to report = dose given ÷ 10 mg. J-code billing units.

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