Home › Drug Codes › J Codes › J0699 · FETROJA
Updated July 1st, 2026

FETROJA J Code: J0699

Injection, cefiderocol, 10 mg

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Q4 2026 Medicare Payment Limit for J0699, effective October 1, 2026: $2.564 per HCPCS billing unit, up 0.6% from $2.548. From CMS's final file.

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Medicare Payment Limit ?
$2.548
/ HCPCS billing unit · Q3 2026
APC Payment Limit ?
$2.548
/ HCPCS billing unit · APC 9426
ASP ?
$•••.••
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WAC · AWP ?
$•••.••
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NDCs Crosswalked ?
2
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Drug & Product Overview

HCPCS Descriptor Injection, cefiderocol, 10 mg
HCPCS Added Date October 1, 2021
Manufacturer Shionogi Pharma
Route of Administration Intravenous
Generic Status Single-Source; Branded
Dosage Type Single-Dose
Dosage Form Injection, Powder, For Solution

About FETROJA

Fetroja is a medication aligned to the HCPCS J Code: J0699 for billing, pricing, and reimbursement purposes in the United States. This Antibiotic medication is administered via the intravenous route and manufactured by Shionogi Pharma.

According to CMS Drug Use Information: Cefiderocol is used to treat certain serious bacterial infections (such as kidney or urinary tract infections, pneumonia). 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 1 of 2 NDCs — log in for the full crosswalk.

NDC Code Drug Manufacturer Billing Units / Pkg Package Size
59630-0266-10 Fetroja Shionogi Inc. 1000 1000 MG / 10 ML
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FETROJA Pricing & Reimbursement

J0699 Private Payer Reimbursement
$2.32 / HCPCS unit as of Jan 2026

National median reimbursement across major commercial payers.

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UnitedHealthcare, BlueCross BlueShield, Aetna, Cigna

Historical Graphing and Billing Calculator

per HCPCS unit
As of Q3 2026

FETROJA 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)
JW / JZ modifiers apply

CMS has identified Fetroja (J0699) as a HCPCS code with single-dose containers. Therefore, the JW/JZ wastage modifiers could be required for billing purposes. Wastage billing guide →

FETROJA Medically Unlikely Edits (MUE)

The most billing units of J0699 Medicare will pay for one patient in one day, as published by CMS. 1 unit = 10 mg.

Practitioner Office & Hospital Outpatient
600 units / day
= 6,000 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 →

mg Enter a dose to see how many billing units it is and whether it is under the limit.

FETROJA 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.

Complicated Urinary Tract Infections (cUTIs), Including Pyelonephritis Hospital-acquired Bacterial Pneumonia and Ventilator-associated Bacterial Pneumonia (HABP/VABP)
Drug Class
Cephalosporin Antibacterial [EPC]Cephalosporins [CS]

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Frequently Asked Questions

Is there an available Fetroja billing and coding guide?
Our team has not identified a manufacturer-published source of billing and coding information for FETROJA.
Are there any available Fetroja patient assistance programs?
FETROJA patient assistance information can be found through Shionogi Inc. Visit Here →
Where can I find Fetroja prescribing information?
FETROJA prescribing information can be found at the link below: Visit Here →
Where can I find Fetroja side effect information?
Information regarding FETROJA's side effects can be found at MedlinePlus Visit Here →
Does billing FETROJA require JZ/JW wastage modifiers?
CMS has identified FETROJA(J0699) 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.

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