Home Drug Codes J Codes J0558 · BICILLIN C-R
Updated July 1st, 2026

BICILLIN C-R J Code: J0558

Injection, penicillin g benzathine and penicillin g procaine, 100,000 units

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Q4 2026 Medicare Payment Limit for J0558, effective October 1, 2026: $19.523 per HCPCS billing unit, unchanged from Q3 2026. From CMS's final file.

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Medicare Payment Limit ?
$19.523
/ HCPCS billing unit · Q3 2026
APC Payment Limit ?
$19.523
/ HCPCS billing unit · APC 9088
ASP ?
$•••.••
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WAC · AWP ?
$•••.••
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NDCs Crosswalked ?
3
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Drug & Product Overview

HCPCS Descriptor Injection, penicillin g benzathine and penicillin g procaine, 100,000 units
HCPCS Added Date January 1, 2011
Manufacturer Pfizer
Route of Administration Intramuscular
Generic Status Single-Source; Branded
Dosage Form Injection, Suspension

About BICILLIN C-R

Bicillin C-R is a medication aligned to the HCPCS J Code: J0558 for billing, pricing, and reimbursement purposes in the United States. This Antibiotic medication is administered via the intramuscular route and manufactured by Pfizer.

According to CMS Drug Use Information: This medication is used to treat a wide variety of bacterial infections. This medication is known as a long-acting natural penicillin antibiotic. It works by stopping the growth of bacteria. This medication should not be used to treat sexually transmitted diseases (such as syphilis, gonorrhea).

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. The list of NDCs below is not exhaustive.

NDC Code Drug Manufacturer Billing Units / Pkg Package Size
60793-0600-10 Bicillin Cr Pfizer Laboratories Div Pfizer Inc 120 Bicillin Cr Intramuscu lar Injection 60… Login for More
60793-0601-10 Bicillin Cr Pfizer Laboratories Div Pfizer Inc 120 Bicillin Cr Intramuscu lar Injection 60… Login for More
60793-0602-10 Bicillin C-R 900/300 Pfizer Laboratories Div Pfizer Inc 120 Bicillin C-R 900/300 I ntramuscular Inj… Login for More
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BICILLIN C-R Pricing & Reimbursement

J0558 Private Payer Reimbursement
$19.39 / 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

BICILLIN C-R 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
96372 Therapeutic, prophylactic, or diagnostic injection (specify substance or drug); intramuscular
Not on the CMS JW / JZ list

CMS does not include Bicillin C-R (J0558) on its list of HCPCS pertaining to single-dose containers. Per CMS guidelines, the JZ/JW wastage modifiers may not apply when billing J0558. Wastage billing guide →

BICILLIN C-R Medically Unlikely Edits (MUE)

The most billing units of J0558 Medicare will pay for one patient in one day, as published by CMS. 1 unit = 100,000 units.

Practitioner Office & Hospital Outpatient
24 units / day
= 2,400 ,000 units 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 →

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

BICILLIN C-R 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.

Pneumococcal Infections (except pneumococcal meningitis) Pneumococcal infections (except pneumococcal meningitis) Streptococcal Infections Group A (upper-respiratory tract, skin and soft-tissue infections, scarlet fever, erysipelas) Streptococcal infections (upper-respiratory tract, skin and soft-tissue infections, scarlet fever, erysipelas)
Drug Class
Penicillin-class Antibacterial [EPC]Penicillins [CS]

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Frequently Asked Questions

Is there an available Bicillin C-R billing and coding guide?
Our team has not identified a manufacturer-published source of billing and coding information for BICILLIN C-R.
Are there any available Bicillin C-R patient assistance programs?
BICILLIN C-R patient assistance information can be found through Pfizer. Visit Here →
Where can I find Bicillin C-R prescribing information?
BICILLIN C-R prescribing information can be found at the link below: Visit Here →
Where can I find Bicillin C-R side effect information?
Our team has not yet identified a source of side effects information for BICILLIN C-R. Please check back in a few weeks.
Does billing BICILLIN C-R require JZ/JW wastage modifiers?
CMS does not include BICILLIN C-R (J0558) on its list of HCPCS pertaining to single-dose containers. Per CMS guidelines, the JZ/JW wastage modifiers may not apply when billing J0558. For more information, visit the link below.

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