Home Drug Codes J Codes J3243 · TIGECYCLINE
Updated July 1st, 2026

TIGECYCLINE J Code: J3243

Injection, tigecycline, 1 mg

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Q4 2026 Medicare Payment Limit for J3243, effective October 1, 2026: $0.479 per HCPCS billing unit, down 7.4% from $0.517. From CMS's final file.

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Medicare Payment Limit ?
$0.517
/ HCPCS billing unit · Q3 2026
APC Payment Limit ?
Not published
CMS publishes none for Q3 2026
ASP ?
$•••.••
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WAC · AWP ?
$•••.••
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NDCs Crosswalked ?
11
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Drug & Product Overview

HCPCS Descriptor Injection, tigecycline, 1 mg
HCPCS Added Date January 1, 2007
Manufacturer Multiple Manufacturers
Route of Administration Intravenous, Parenteral
Generic Status Multi-Source; Generic
Dosage Type Single-Dose
Dosage Form Injection, Powder, Lyophilized, For Solution | Not Available

About TIGECYCLINE

Tigecycline is a medication aligned to the HCPCS J Code: J3243 for billing, pricing, and reimbursement purposes in the United States. This Antibiotic medication is administered via the intravenous or parenteral routes and manufactured by multiple companies.

According to CMS Drug Use Information: Tigecycline is used to treat certain serious bacterial infections when other antibiotics may not work. It is related 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. Showing 5 of 11 NDCs — log in for the full crosswalk.

NDC Code Drug Manufacturer Billing Units / Pkg Package Size
00008-4990-20 Tygacil Wyeth Pharmaceuticals LLC, a subsidiary of Pfizer Inc. 500 50 MG / 5 ML
00781-3481-92 Tigecycline Sandoz Inc 500 50 MG / 10 ML
55150-0228-10 Tigecycline Eugia Us Llc 500 50 MG
60505-6098-01 Tigecycline Apotex Corp 500 50 MG / 5 ML
63323-0960-10 Tigecycline FreseniUS Kabi USA, LLC 500 50 MG
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TIGECYCLINE
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TIGECYCLINE Pricing & Reimbursement

J3243 Private Payer Reimbursement
$0.88 / 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

Tigecycline 505(b)(2) Information:

HCPCS Code Manufacturer Active Ingredient HCPCS Description
J3243 Generic Code (Multiple Manufacturers) Tigecycline Injection, tigecycline, 1 mg
J3244 Accord Tigecycline Injection, tigecycline (accord), not therapeutically equivalent to j3243, 1 mg

TIGECYCLINE 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 Tigecycline (J3243) as a HCPCS code with single-dose containers. Therefore, the JW/JZ wastage modifiers could be required for billing purposes. Wastage billing guide →

TIGECYCLINE Medically Unlikely Edits (MUE)

The most billing units of J3243 Medicare will pay for one patient in one day, as published by CMS. 1 unit = 1 mg. The limit is different in the office and the hospital. Use the one for your setting.

Practitioner Office
150 units / day
= 150 mg per day
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 →

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

TIGECYCLINE 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.

Community-Acquired Bacterial Pneumonia Complicated Intra-Abdominal Infections Complicated Intra-abdominal Infections Complicated Skin and Skin Structure Infections
Drug Class
Tetracycline-class Antibacterial [EPC]Tetracyclines [CS]

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Frequently Asked Questions

Is there an available Tigecycline billing and coding guide?
We have not yet identified a manufacturer source of Tigecycline billing and coding information.
Are there any available Tigecycline patient assistance programs?
Our team did not identify a source for Tigecycline patient assistance information. Please reach out to our team if you feel that this is a mistake.
Where can I find Tigecycline prescribing information?
TIGECYCLINE prescribing information can be found at the link below: Visit Here →
Where can I find Tigecycline side effect information?
Information regarding TIGECYCLINE's side effects can be found at MedlinePlus Visit Here →
Does billing TIGECYCLINE require JZ/JW wastage modifiers?
CMS has identified TIGECYCLINE(J3243) 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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