SIVEXTRO J Code: J3090

Drug & Product Overview

HCPCS Descriptor Injection, tedizolid phosphate, 1 mg

HCPCS Added Date January 1, 2016

Manufacturer Merck Sharp & Dohme Corp

Route of Administration Intravenous

Generic Status Single-Source; Branded

Dosage Type Single-Dose

Dosage Form Injection, Powder, Lyophilized, For Solution

About SIVEXTRO

Sivextro is a medication aligned to the HCPCS J Code: J3090 for billing, pricing, and reimbursement purposes in the United States. This Antibiotic medication is administered via the intravenous route and manufactured by Merck Sharp & Dohme Corp.

According to CMS Drug Use Information: This medication is used to treat or prevent serious bacterial infections of the skin. 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
67919-0040-02	Sivextro	Merck Sharp & Dohme LLC	2000	200 MG / 4 ML
•••••-••••-•• Log in to view	SIVEXTRO

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SIVEXTRO Pricing & Reimbursement

J3090 Private Payer Reimbursement

$1.72 / 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 Q3 2026

SIVEXTRO 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 Sivextro (J3090) on its list of HCPCS pertaining to single-dose containers. Per CMS guidelines, the JZ/JW wastage modifiers may not apply when billing J3090. Wastage billing guide →

SIVEXTRO Medically Unlikely Edits (MUE)

The most billing units of J3090 Medicare will pay for one patient in one day, as published by CMS. 1 unit = 1 mg.

Practitioner Office & Hospital Outpatient

200 units / day

= 200 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 →

SIVEXTRO 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 Bacterial Skin and Skin Structure Infections Acute Bacterial Skin and Skin Structure Infections (ABSSSI)

Drug Class

Breast Cancer Resistance Protein Inhibitors [MoA]Oxazolidinone Antibacterial [EPC]Oxazolidinones [CS]

Frequently Asked Questions

Is there an available Sivextro billing and coding guide?

Our team has not identified a manufacturer-published source of billing and coding information for SIVEXTRO.

Are there any available Sivextro patient assistance programs?

Our team has not identified a manufacturer-published source of patient assistance information for SIVEXTRO.

Where can I find Sivextro prescribing information?

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

Where can I find Sivextro side effect information?

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

Does billing SIVEXTRO require JZ/JW wastage modifiers?

CMS does not include SIVEXTRO (J3090) on its list of HCPCS pertaining to single-dose containers. Per CMS guidelines, the JZ/JW wastage modifiers may not apply when billing J3090. For more information, visit the link below.

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