TIGECYCLINE J Code: J3243
Injection, tigecycline, 1 mg
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.
Drug & Product Overview
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 Pricing & Reimbursement
National median reimbursement across major commercial payers.
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Login to use the calculator →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) |
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.
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 →
TIGECYCLINE 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 Tigecycline billing and coding guide?
Are there any available Tigecycline patient assistance programs?
Where can I find Tigecycline prescribing information?
Where can I find Tigecycline side effect information?
Does billing TIGECYCLINE require JZ/JW wastage modifiers?
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