METRONIDAZOLE J Code: J1836

Drug & Product Overview

HCPCS Descriptor Injection, metronidazole, 10 mg

HCPCS Added Date July 1, 2023

Manufacturer Multiple Manufacturers

Route of Administration Intravenous

Generic Status Multi-Source; Generic

Dosage Type Single-Dose

Dosage Form Injection, Solution | Solution

About METRONIDAZOLE

Metronidazole is a medication aligned to the HCPCS J Code: J1836 for billing, pricing, and reimbursement purposes in the United States. This Antibiotic medication is administered via the intravenous route and manufactured by multiple companies.

According to CMS Drug Use Information: Metronidazole is an antibiotic that is used to treat a wide variety of infections. It may also be used to prevent infection after bowel surgery. It works by stopping the growth of certain bacteria and parasites.

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 9 NDCs — log in for the full crosswalk.

NDC Code	Drug	Manufacturer	Billing Units / Pkg	Package Size
00264-5535-32	Metronidazole	B. Braun Medical Inc.	1200	500 MG / 100 ML
00338-1055-48	Metronidazole	Baxter Healthcare Corporation	1200	500 MG / 100 ML
00409-0152-24	Metronidazole	Hospira, Inc.	1200	500 MG / 100 ML
25021-0131-82	Metronidazole	Sagent Pharmaceuticals	1200	500 MG / 100 ML
72572-0540-24	Metronidazole	Civica, Inc.	1200	500 MG / 100 ML
•••••-••••-•• Log in to view	METRONIDAZOLE
	METRONIDAZOLE
	METRONIDAZOLE

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METRONIDAZOLE Pricing & Reimbursement

J1836 Private Payer Reimbursement

$0.06 / 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

Metronidazole 505(b)(2) Information:

HCPCS Code	Manufacturer	Active Ingredient	HCPCS Description
J1836	Generic Code (Multiple Manufacturers)	Metronidazole	Injection, metronidazole, 10 mg

METRONIDAZOLE 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)

Not on the CMS JW / JZ list

CMS does not include Metronidazole (J1836) on its list of HCPCS pertaining to single-dose containers. Per CMS guidelines, the JZ/JW wastage modifiers may not apply when billing J1836. Wastage billing guide →

METRONIDAZOLE Medically Unlikely Edits (MUE)

The most billing units of J1836 Medicare will pay for one patient in one day, as published by CMS. 1 unit = 10 mg.

Practitioner Office & Hospital Outpatient

400 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 →

METRONIDAZOLE 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.

Anaerobic Bacterial Infections Anaerobic bacterial infections Intra-Abdominal Infections Intra-abdominal infections Postoperative infection in contaminated or potentially contaminated colorectal surgery Prophylaxis for Elective Colorectal Surgery Prophylaxis for elective colorectal surgery Prophylaxis of Postoperative Infection in Contaminated or Potentially Contaminated Colorectal Surgery Prophylaxis of postoperative infection in elective colorectal surgery Surgical Prophylaxis (elective colorectal surgery)

Drug Class

Nitroimidazole Antimicrobial [EPC]Nitroimidazoles [CS]

Frequently Asked Questions

Is there an available Metronidazole billing and coding guide?

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

Are there any available Metronidazole patient assistance programs?

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

Where can I find Metronidazole prescribing information?

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

Where can I find Metronidazole side effect information?

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

Does billing METRONIDAZOLE require JZ/JW wastage modifiers?

CMS does not include METRONIDAZOLE (J1836) on its list of HCPCS pertaining to single-dose containers. Per CMS guidelines, the JZ/JW wastage modifiers may not apply when billing J1836. For more information, visit the link below.

About BuyandBill.com:

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