Home Drug Codes J Codes J0290 · Ampicillin
Updated July 1st, 2026

Ampicillin J Code: J0290

Injection, ampicillin sodium, 500 mg

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Q4 2026 Medicare Payment Limit for J0290, effective October 1, 2026: $0.619 per HCPCS billing unit, up 0.8% from $0.614. From CMS's final file.

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Medicare Payment Limit ?
$0.614
/ HCPCS billing unit · Q3 2026
APC Payment Limit ?
Not published
CMS publishes none for Q3 2026
ASP ?
$•••.••
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WAC · AWP ?
$•••.••
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NDCs Crosswalked ?
101
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Drug & Product Overview

HCPCS Descriptor Injection, ampicillin sodium, 500 mg
HCPCS Added Date January 1, 1984
Manufacturer Multiple Manufacturers
Route of Administration Intramuscular, Intravenous
Generic Status Multi-Source; Generic
Dosage Form Injection, Powder, For Solution | Not Available | Powder, For Solution

About Ampicillin

Ampicillin is a medication aligned to the HCPCS J Code: J0290 for billing, pricing, and reimbursement purposes in the United States. Classified under Antibiotic, it is administered via the intramuscular or intravenous routes and manufactured by multiple companies.

According to CMS Drug Use Information: Ampicillin is used to treat a wide variety of bacterial infections. It is a penicillin-type antibiotic. It works by stopping the growth of bacteria.

Disclaimer: This is a summary and does not contain all possible information about this product. For complete information about this product or your specific health needs, ask your healthcare professional.

NDC Code Information

Based on publicly available CMS files. Showing 5 of 101 NDCs — log in for the full crosswalk.

NDC Code Drug Manufacturer Billing Units / Pkg Package Size
00781-3400-95 Ampicillin Sodium Sandoz Inc. 3 125 MG
00781-3402-95 Ampicillin Sandoz Inc 5 250 MG
23155-0915-41 Ampicillin Heritage Pharmaceuticals Inc. d/b/a Avet Pharmaceuticals Inc. 10 500 MG
25021-0134-10 Ampicillin Sodium Sagent Pharmaceuticals 5 250 MG
44567-0100-10 Ampicillin WG Critical Care, LLC 5 250 MG
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Ampicillin Pricing & Reimbursement

J0290 Private Payer Reimbursement
$0.85 / HCPCS unit as of Jan 2026

National median reimbursement across major commercial payers.

Create an account on PayerPrice for more information →
UnitedHealthcare, BlueCross BlueShield, Aetna, Cigna

Historical Graphing and Billing Calculator

per HCPCS unit
As of Q3 2026

Ampicillin CPT Administration Codes

The below list of CPT codes is intended for informational purposes only and may not be exhaustive. CPT® codes and descriptions are copyright American Medical Association (AMA). All rights reserved.

CPT Code Description
96365 Intravenous infusion, for therapy, prophylaxis, or diagnosis (specify substance or drug); initial, up to 1 hour
96366 Intravenous infusion, for therapy, prophylaxis, or diagnosis (specify substance or drug); each additional hour (List separately in addition to code for primary procedure)
96372 Login for More Therapeutic, prophylactic, or diagnostic injection (specify substance or drug); intramuscular Login for More
Not on the CMS JW / JZ list

CMS does not include Ampicillin (J0290) on its list of HCPCS pertaining to single-dose containers. Per CMS guidelines, the JZ/JW wastage modifiers may not apply when billing J0290. Wastage billing guide →

Ampicillin Medically Unlikely Edits (MUE)

The most billing units of J0290 Medicare will pay for one patient in one day, as published by CMS. 1 unit = 500 mg.

Practitioner Office & Hospital Outpatient
24 units / day
= 12,000 mg per day

MAI 3 · Date of Service Edit: Clinical. Per-day limit based on clinical expectations; excess units are denied but may be appealed with documentation of medical necessity. See all MUE limits →

mg Enter a dose to see how many billing units it is and whether it is under the limit.

Ampicillin Clinical Information

Indications and drug classification.

Treated Diseases & Conditions

This list of indications is not exhaustive and may be subject to errors. The information on BuyandBill.com is intended for informational purposes only and should not be used for medical advice.

Bacterial Meningitis Endocarditis Gastrointestinal Infections Gastrointestinal and Genitourinary Tract Infections Gonorrhea (urethritis in males) Respiratory Tract Infections Respiratory Tract Infections and Soft Tissue Infections Respiratory Tract and Soft Tissue Infections Septicemia Urethritis (N. gonorrhoeae, males) Urethritis (due to N. gonorrhoeae) Urethritis due to N. gonorrhoeae Urinary Tract Infections
Drug Class
Penicillin-class Antibacterial [EPC]Penicillins [CS]

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Frequently Asked Questions

Is there an available Ampicillin billing and coding guide?
We have not yet identified a manufacturer source of Ampicillin billing and coding information.
Are there any available Ampicillin patient assistance programs?
Our team did not identify a source for Ampicillin patient assistance information. Please reach out to our team if you feel that this is a mistake.
Where can I find Ampicillin prescribing information?
Our team is still working to identify a prescribing information source for Ampicillin
Where can I find Ampicillin side effect information?
Our team has not yet identified a source of side effects information for Ampicillin. Please check back in a few weeks.
Does billing Ampicillin require JZ/JW wastage modifiers?
CMS does not include Ampicillin (J0290) on its list of HCPCS pertaining to single-dose containers. Per CMS guidelines, the JZ/JW wastage modifiers may not apply when billing J0290. For more information, visit the link below.

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