CEFTRIAXONE J Code: J0696

Drug & Product Overview

HCPCS Descriptor Injection, ceftriaxone sodium, per 250 mg

HCPCS Added Date January 1, 1990

Manufacturer Multiple Manufacturers

Route of Administration Intramuscular, Intravenous

Generic Status Multi-Source; Generic

Dosage Type Single-Dose

Dosage Form Injection, Powder, For Solution | Injection, Solution | Not Available

About CEFTRIAXONE

Ceftriaxone is a medication aligned to the HCPCS J Code: J0696 for billing, pricing, and reimbursement purposes in the United States. This Antibiotic medication is administered via the intramuscular or intravenous routes and manufactured by multiple companies.

According to CMS Drug Use Information: Ceftriaxone is used to treat a wide variety of bacterial infections. This medication belongs to a class of drugs known as cephalosporin antibiotics. It works by stopping the growth of bacteria. This drug is not recommended for use in newborns with high blood bilirubin levels and premature infants due to increased risk of side effects. Ask the doctor or pharmacist for details.

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 80 NDCs — log in for the full crosswalk.

NDC Code	Drug	Manufacturer	Billing Units / Pkg	Package Size
00143-9678-01	Ceftriaxone	Hikma Pharmaceuticals USA Inc.	40	10000 MG
00264-3153-11	Ceftriaxone And Dextrose	B. Braun Medical Inc.	96	1000 MG / 50 ML
00338-5002-41	Ceftriaxone	Baxter Healthcare Company	96	1000 MG / 50 ML
00409-7332-01	Ceftriaxone Sodium	Hospira, Inc	40	1000 MG
00781-3206-85	Ceftriaxone Sodium	Sandoz Inc	1	250 MG
•••••-••••-•• Log in to view	CEFTRIAXONE
	CEFTRIAXONE
	CEFTRIAXONE

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CEFTRIAXONE Pricing & Reimbursement

J0696 Private Payer Reimbursement

$0.71 / HCPCS unit as of Jan 2026

National median reimbursement across major commercial payers.

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Historical Graphing and Billing Calculator

per HCPCS unit

As of Q4 2026

CEFTRIAXONE CPT Administration Codes

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 Ceftriaxone (J0696) on its list of HCPCS pertaining to single-dose containers. Per CMS guidelines, the JZ/JW wastage modifiers may not apply when billing J0696. Wastage billing guide →

CEFTRIAXONE Medically Unlikely Edits (MUE)

The most billing units of J0696 Medicare will pay for one patient in one day, as published by CMS. 1 unit = 250 mg.

Practitioner Office & Hospital Outpatient

16 units / day

= 4,000 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 →

CEFTRIAXONE 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.

Acute Bacterial Otitis Media Bacterial Septicemia Bone and Joint Infections Intra-Abdominal Infections Intra-abdominal Infections Lower Respiratory Tract Infections Lower Respiratory Tract Infections, Skin and Skin Structure Infections, Urinary Tract Infections, Pelvic Inflammatory Disease, Bacterial Septicemia, Bone and Joint Infections, Intra-Abdominal Infections, Meningitis Meningitis Miscellaneous Serious Infections Pelvic Inflammatory Disease Serious Miscellaneous Infections Serious Miscellaneous Infections (excluding meningitis) Serious Miscellaneous Infections (non-meningitis) Serious Miscellaneous Infections (other than meningitis) Skin and Skin Structure Infections Surgical Prophylaxis Uncomplicated Gonorrhea Urinary Tract Infections

Show all 18 conditions Show fewer

Drug Class

Cephalosporin Antibacterial [EPC]Cephalosporins [CS]

Frequently Asked Questions

Is there an available Ceftriaxone billing and coding guide?

We have not yet identified a manufacturer source of Ceftriaxone billing and coding information.

Are there any available Ceftriaxone patient assistance programs?

Our team did not identify a source for Ceftriaxone patient assistance information. Please reach out to our team if you feel that this is a mistake.

Where can I find Ceftriaxone prescribing information?

Our team is still working to identify a prescribing information source for CEFTRIAXONE

Where can I find Ceftriaxone side effect information?

Our team has not yet identified a source of side effects information for CEFTRIAXONE. Please check back in a few weeks.

Does billing CEFTRIAXONE require JZ/JW wastage modifiers?

CMS does not include CEFTRIAXONE (J0696) on its list of HCPCS pertaining to single-dose containers. Per CMS guidelines, the JZ/JW wastage modifiers may not apply when billing J0696. For more information, visit the link below.

About BuyandBill.com:

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