CEFUROXIME SODIUM J Code: J0697
Injection, sterile cefuroxime sodium, per 750 mg
Q4 2026 Medicare Payment Limit for J0697, effective October 1, 2026: $2.106 per HCPCS billing unit, up 3.0% from $2.044. From CMS's final file.
Drug & Product Overview
About CEFUROXIME SODIUM
Cefuroxime Sodium is a medication aligned to the HCPCS J Code: J0697 for billing, pricing, and reimbursement purposes in the United States. It is an Antibiotic drug administered via the intramuscular or intravenous routes and manufactured by multiple companies.
According to CMS Drug Use Information: Cefuroxime is used to treat a wide variety of bacterial infections. It may also be used to prevent infection from certain surgeries. This medication belongs to a class of drugs known as cephalosporin antibiotics. 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 6 NDCs — log in for the full crosswalk.
| NDC Code | Drug | Manufacturer | Billing Units / Pkg | Package Size |
|---|---|---|---|---|
| 00143-9567-25 | Cefuroxime | Hikma Pharmaceuticals USA Inc. | 50 | Cefuroxime Intravenous Injection 1.5 G… Login for More |
| 00143-9568-25 | Cefuroxime | Hikma Pharmaceuticals USA Inc. | 25 | 750 MG |
| 00143-9977-22 | Cefuroxime | Hikma Pharmaceuticals USA Inc. | 50 | Cefuroxime Intravenous Injection 1.5 G… Login for More |
| 25021-0118-10 | Cefuroxime sodium | Sagent Pharmaceuticals | 25 | 750 MG |
| 25021-0119-20 | Cefuroxime sodium | Sagent Pharmaceuticals | 50 | 1500 MG / 20 ML |
| •••••-••••-•• Log in to view | CEFUROXIME SODIUM | •••••••••••• Log in to view | •••• Log in to view | ••• •• / • •• Log in to view |
CEFUROXIME SODIUM Pricing & Reimbursement
National median reimbursement across major commercial payers.
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Login to use the calculator →CEFUROXIME 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) |
| 96372 Login for More | Therapeutic, prophylactic, or diagnostic injection (specify substance or drug); intramuscular Login for More |
CMS does not include Cefuroxime Sodium (J0697) on its list of HCPCS pertaining to single-dose containers. Per CMS guidelines, the JZ/JW wastage modifiers may not apply when billing J0697. Wastage billing guide →
CEFUROXIME SODIUM Medically Unlikely Edits (MUE)
The most billing units of J0697 Medicare will pay for one patient in one day, as published by CMS. 1 unit = 750 mg. The limit is different in the office and the hospital. Use the one for your setting.
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 →
CEFUROXIME SODIUM Clinical Information
Indications and drug classification.
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.
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Frequently Asked Questions
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