ERTAPENEM J Code: J1335
Injection, ertapenem sodium, 500 mg
Q4 2026 Medicare Payment Limit for J1335, effective October 1, 2026: $5.826 per HCPCS billing unit, down 13.7% from $6.75. From CMS's final file.
Drug & Product Overview
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 | ertapenem sodium Intra muscular Injecti… Login for More |
| 00143-9429-10 | Ertapenem | Hikma Pharmaceuticals USA Inc. | 20 | Ertapenem Intramuscula r Injection 1 G/… Login for More |
| 00409-3510-22 | Ertapenem | Hospira, Inc. | 20 | Ertapenem Intramuscula r Injection 1 G/… Login for More |
| 16714-0889-10 | Ertapenem Sodium | NorthStar RxLLC | 20 | Ertapenem Sodium Intra muscular Injecti… Login for More |
| 25021-0199-20 | Ertapenem | Sagent Pharmaceuticals | 20 | Ertapenem Intramuscula r Injection 1 G/… Login for More |
| •••••-••••-•• Log in to view | ERTAPENEM | •••••••••••• Log in to view | •••• Log in to view | ••• •• / • •• Log in to view |
| •••••-••••-•• Log in to view | ERTAPENEM | •••••••••••• Log in to view | •••• Log in to view | ••• •• / • •• Log in to view |
| •••••-••••-•• Log in to view | ERTAPENEM | •••••••••••• Log in to view | •••• Log in to view | ••• •• / • •• Log in to view |
ERTAPENEM Pricing & Reimbursement
National median reimbursement across major commercial payers.
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Login to use the calculator →ERTAPENEM 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 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.
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.
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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Does billing ERTAPENEM require JZ/JW wastage modifiers?
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