ERTAPENEM J Code: J1335

Drug & Product Overview

HCPCS Descriptor Injection, ertapenem sodium, 500 mg

HCPCS Added Date January 1, 2004

Manufacturer Multiple Manufacturers

Route of Administration Intramuscular, Intravenous

Generic Status Multi-Source; Generic

Dosage Type Single-Dose

Dosage Form Injection | Injection, Powder, Lyophilized, For Solution

About ERTAPENEM

Ertapenem is a medication aligned to the HCPCS J Code: J1335 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: Ertapenem is used to prevent and treat a wide variety of bacterial infections. This medication is known as a carbapenem-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 21 NDCs — log in for the full crosswalk.

NDC Code	Drug	Manufacturer	Billing Units / Pkg	Package Size
00143-9398-10	ertapenem sodium	Hikma Pharmaceuticals USA, Inc.	20	1000 MG
00143-9429-10	Ertapenem	Hikma Pharmaceuticals USA Inc.	20	1000 MG
00409-3510-22	Ertapenem	Hospira, Inc.	20	1000 MG
16714-0889-10	Ertapenem Sodium	NorthStar RxLLC	20	1000 MG
25021-0199-20	Ertapenem	Sagent Pharmaceuticals	20	1000 MG
•••••-••••-•• Log in to view	ERTAPENEM
	ERTAPENEM
	ERTAPENEM

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ERTAPENEM Pricing & Reimbursement

J1335 Private Payer Reimbursement

$9.39 / HCPCS unit as of Jan 2026

National median reimbursement across major commercial payers.

Create an account on PayerPrice for more information →

Historical Graphing and Billing Calculator

per HCPCS unit

As of Q4 2026

ERTAPENEM 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

JW / JZ modifiers apply

CMS has identified Ertapenem (J1335) as a HCPCS code with single-dose containers. Therefore, the JW/JZ wastage modifiers could be required for billing purposes. Wastage billing guide →

ERTAPENEM Medically Unlikely Edits (MUE)

The most billing units of J1335 Medicare will pay for one patient in one day, as published by CMS. 1 unit = 500 mg.

Practitioner Office & Hospital Outpatient

2 units / day

= 1,000 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 →

ERTAPENEM 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 Pelvic Infections Including Postpartum Endomyometritis, Septic Abortion and Post Surgical Gynecologic Infections Acute Pelvic Infections Including Postpartum Endomyometritis, Septic Abortion and Post-Surgical Gynecologic Infections Acute pelvic infections including postpartum endomyometritis, septic abortion and post-surgical gynecologic infections Community Acquired Pneumonia Community acquired pneumonia Complicated Intra-Abdominal Infections Complicated Skin and Skin Structure Infections, Including Diabetic Foot Infections without Osteomyelitis Complicated Urinary Tract Infections Including Pyelonephritis Complicated intra-abdominal infections Complicated skin and skin structure infections, including diabetic foot infections without osteomyelitis Complicated urinary tract infections, including pyelonephritis Prophylaxis of Surgical Site Infection Following Elective Colorectal Surgery Prophylaxis of surgical site infection following elective colorectal surgery

Drug Class

Carbapenems [CS]Penem Antibacterial [EPC]

Frequently Asked Questions

Is there an available Ertapenem billing and coding guide?

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

Are there any available Ertapenem patient assistance programs?

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

Where can I find Ertapenem prescribing information?

ERTAPENEM prescribing information can be found at the link below. Please reach out to us if you believe this information to be innacurate or out of date. Visit Here →

Where can I find Ertapenem side effect information?

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

Does billing ERTAPENEM require JZ/JW wastage modifiers?

CMS has identified ERTAPENEM(J1335) as a HCPCS code with single-dose containers. Therefore, the JW/JZ wastage modifiers could be required for billing purposes. See CMS guidelines on use of the JZ and JW wastage modifiers below.

About BuyandBill.com:

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