NUZYRA J Code: J0121
Injection, omadacycline, 1 mg
Q4 2026 Medicare Payment Limit for J0121, effective October 1, 2026: $4.293 per HCPCS billing unit, up 2.5% from $4.188. From CMS's final file.
Drug & Product Overview
About NUZYRA
Nuzyra is a medication aligned to the HCPCS J Code: J0121 for billing, pricing, and reimbursement purposes in the United States. It is an Antibiotic drug administered via the intravenous route and manufactured by Paratek Pharmaceuticals.
According to CMS Drug Use Information: Omadacycline is used to treat a wide variety of bacterial infections. This medication belongs to a class of drugs known as tetracycline 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. The list of NDCs below is not exhaustive.
| NDC Code | Drug | Manufacturer | Billing Units / Pkg | Package Size |
|---|---|---|---|---|
| 71715-0001-02 | Nuzyra | Paratek Pharmaceuticals, Inc. | 1000 | 100 MG / 5 ML |
NUZYRA Pricing & Reimbursement
National median reimbursement across major commercial payers.
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Login to use the calculator →NUZYRA 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) |
CMS has identified Nuzyra (J0121) as a HCPCS code with single-dose containers. Therefore, the JW/JZ wastage modifiers could be required for billing purposes. Wastage billing guide →
NUZYRA Medically Unlikely Edits (MUE)
The most billing units of J0121 Medicare will pay for one patient in one day, as published by CMS. 1 unit = 1 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 →
NUZYRA 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
Is there an available Nuzyra billing and coding guide?
Are there any available Nuzyra patient assistance programs?
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Where can I find Nuzyra side effect information?
Does billing NUZYRA require JZ/JW wastage modifiers?
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