In short

J1335 is the HCPCS Level II code for injection, ertapenem sodium, 500 mg. CMS assigns NDCs for Ertapenem to it. One billing unit is 500 mg. The Medicare Part B payment limit is $5.826 per unit (October 1, 2026 through December 31, 2026).

Code

CMS HCPCS file
HCPCS codeJ1335
Billing unit500 mg
Descriptor
Injection, ertapenem sodium, 500 mg
Short descriptor
Ertapenem injection
Code set
HCPCS Level II, maintained by CMS
Effective
Jan 1, 2004

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$5.826
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 J1335

CMS’s ASP NDC–HCPCS crosswalk (effective October 1, 2026 through December 31, 2026) assigns 16 NDCs to J1335 for Ertapenem. Billing units per package are CMS’s figures for this code’s unit.

NDCs assigned to J1335 in the CMS ASP crosswalk
DrugNDC (11-digit)LabelerPackageBilling units per package
Ertapenem00143-9398-10Hikma Pharmaceuticals USA Inc.10 × 120
Ertapenem00143-9429-10Hikma Pharmaceuticals USA Inc.10 × 120
Ertapenem00409-3510-22Pfizer Inc10 × 120
Ertapenem16714-0889-10Northstar RxLLC10 × 120
Ertapenem25021-0199-20Sagent Pharmaceuticals10 × 120
Ertapenem42023-0221-10Endo USA, Inc.10 × 120
Ertapenem42023-0221-85Endo USA, Inc.10 × 120
Ertapenem43598-0901-58Dr. Reddy's Laboratories Inc.10 × 120
Ertapenem44567-0820-10WG Critical Care, LLC10 × 120
Ertapenem55150-0282-09Eugia US LLC10 × 120
Ertapenem55150-0282-20Eugia US LLC10 × 120
Ertapenem60505-6196-04Apotex Corp10 × 120
Ertapenem63323-0823-20FreseniUS Kabi USA, LLC10 × 120
Ertapenem68001-0408-31BluePoint Laboratories10 × 120
Ertapenem72266-0159-05Fosun Pharma USA Inc.5 × 110
Ertapenem72266-0159-10Fosun Pharma USA Inc.10 × 120

J1335: common questions

Is J1335 a CPT code?
No. J1335 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 J1335?
CMS's ASP crosswalk for October 1, 2026 through December 31, 2026 lists 16 NDCs under J1335, for Ertapenem. The table on this page shows each one with its billing units per package.
What is the Medicare payment limit for J1335?
$5.826 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 J1335?
One unit of J1335 is 500 mg, as stated in the code's descriptor. Units to report = dose given ÷ 500 mg. J-code billing units.

Free account

Keep searching with a free account

You’ve used your 3 free searches for this session. Log in or create a free Med-Code account to keep looking up NDCs, J-codes and drugs.

Create a free accountLog in