Home Drug Codes J Codes J0698 · CEFOTAXIME SODIUM
Updated July 1st, 2026

CEFOTAXIME SODIUM J Code: J0698

Injection, cefotaxime sodium, per gm

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Medicare Payment Limit ?
Not published
CMS publishes none for Q3 2026
APC Payment Limit ?
Not published
CMS publishes none for Q3 2026
ASP ?
No current ASP
Not available for Q3 2026
WAC · AWP ?
$•••.••
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NDCs Crosswalked ?
1
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Drug & Product Overview

HCPCS Descriptor Injection, cefotaxime sodium, per gm
HCPCS Added Date January 1, 1991
Manufacturer HOSPIRA
Route of Administration Injection
Generic Status Single-Source; Branded

About CEFOTAXIME SODIUM

Cefotaxime Sodium is a medication aligned to the HCPCS J Code: J0698 for billing, pricing, and reimbursement purposes in the United States. Classified under Antibiotic, it is administered via the injection route and manufactured by HOSPIRA.

Manufacturers, reach out to us to add more information.

NDC Code Information

1 NDC package is crosswalked to J0698. Package detail is available to logged-in subscribers.

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CEFOTAXIME SODIUM 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)
96374 Login for More Therapeutic, prophylactic, or diagnostic injection (specify substance or drug), IV push, single, or initial substance/drug Login for More
Not on the CMS JW / JZ list

CMS does not include Cefotaxime Sodium (J0698) on its list of HCPCS pertaining to single-dose containers. Per CMS guidelines, the JZ/JW wastage modifiers may not apply when billing J0698. Wastage billing guide →

CEFOTAXIME SODIUM Medically Unlikely Edits (MUE)

The most billing units of J0698 Medicare will pay for one patient in one day, as published by CMS. 1 unit = per gm. The limit is different in the office and the hospital. Use the one for your setting.

Practitioner Office
10 units / day
Physician office · clinic
Hospital Outpatient
12 units / day
Outpatient hospital · OPPS

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 →

CEFOTAXIME SODIUM 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.

Lower respiratory tract infections (including pneumonia) Genitourinary infections (including uncomplicated gonorrhea) Gynecologic infections (pelvic inflammatory disease endometritis pelvic cellulitis) Bacteremia/Septicemia Skin and skin structure infections Intra-abdominal infections (including peritonitis) Bone and joint infections Central nervous system infections (meningitis ventriculitis)

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Frequently Asked Questions

Is there an available Cefotaxime Sodium billing and coding guide?
We have not yet identified a manufacturer source of Cefotaxime Sodium billing and coding information.
Are there any available Cefotaxime Sodium patient assistance programs?
Our team did not identify a source for Cefotaxime Sodium patient assistance information. Please reach out to our team if you feel that this is a mistake.
Where can I find Cefotaxime Sodium prescribing information?
CEFOTAXIME SODIUM prescribing information can be found at the link below: Visit Here →
Where can I find Cefotaxime Sodium side effect information?
Information regarding CEFOTAXIME SODIUM's side effects can be found at MedlinePlus Visit Here →
Does billing CEFOTAXIME SODIUM require JZ/JW wastage modifiers?
CMS does not include CEFOTAXIME SODIUM (J0698) on its list of HCPCS pertaining to single-dose containers. Per CMS guidelines, the JZ/JW wastage modifiers may not apply when billing J0698. For more information, visit the link below.

About BuyandBill.com:

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