TEFLARO J Code: J0712

Drug & Product Overview

HCPCS Descriptor Injection, ceftaroline fosamil, 10 mg

HCPCS Added Date January 1, 2012

Manufacturer Multiple Manufacturers

Route of Administration Intravenous

Generic Status Multi-Source; Generic

Dosage Type Single-Dose

Dosage Form Injection, Powder, Lyophilized, For Solution | Powder, For Solution

About TEFLARO

Teflaro is a medication aligned to the HCPCS J Code: J0712 for billing, pricing, and reimbursement purposes in the United States. It is an Antibiotic drug administered via the intravenous route and manufactured by multiple companies.

According to CMS Drug Use Information: Ceftaroline is an antibiotic used to treat a variety of bacterial infections. This medication is known as a cephalosporin 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 4 of 6 NDCs — log in for the full crosswalk.

NDC Code	Drug	Manufacturer	Billing Units / Pkg	Package Size
00456-0400-10	Teflaro	Allergan, Inc.	400	400 MG / 20 ML
00456-0600-10	Teflaro	Allergan, Inc.	600	600 MG / 20 ML
60505-6124-01	Ceftaroline Fosamil	Apotex Corp.	400	400 MG / 20 ML
60505-6125-01	Ceftaroline Fosamil	Apotex Corp.	600	600 MG / 20 ML
•••••-••••-•• Log in to view	TEFLARO
	TEFLARO

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TEFLARO Pricing & Reimbursement

J0712 Private Payer Reimbursement

$4.18 / HCPCS unit as of Jan 2026

National median reimbursement across major commercial payers.

Create an account on PayerPrice for more information →

Historical Graphing and Billing Calculator

per HCPCS unit

As of Q3 2026

TEFLARO 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)

JW / JZ modifiers apply

CMS has identified Teflaro (J0712) as a HCPCS code with single-dose containers. Therefore, the JW/JZ wastage modifiers could be required for billing purposes. Wastage billing guide →

TEFLARO Medically Unlikely Edits (MUE)

The most billing units of J0712 Medicare will pay for one patient in one day, as published by CMS. 1 unit = 10 mg. The limit is different in the office and the hospital. Use the one for your setting.

Practitioner Office

120 units / day

= 1,200 mg per day

Hospital Outpatient

180 units / day

= 1,800 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 →

TEFLARO 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 Community-Acquired Bacterial Pneumonia

Drug Class

Cephalosporin Antibacterial [EPC]Cephalosporins [CS]

Frequently Asked Questions

Is there an available Teflaro billing and coding guide?

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

Are there any available Teflaro patient assistance programs?

TEFLARO patient assistance information can be found through Allergan. Visit Here →

Where can I find Teflaro prescribing information?

TEFLARO prescribing information can be found at the link below: Visit Here →

Where can I find Teflaro side effect information?

Information regarding TEFLARO's side effects can be found at MedlinePlus Visit Here →

Does billing TEFLARO require JZ/JW wastage modifiers?

CMS has identified TEFLARO(J0712) 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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