Home Drug Codes J Codes J0291 · ZEMDRI
Updated July 1st, 2026

ZEMDRI J Code: J0291

Injection, plazomicin, 5 mg

Login to unlock all benchmarks

Q4 2026 Medicare Payment Limit for J0291, effective October 1, 2026: $3.519 per HCPCS billing unit, unchanged from Q3 2026. From CMS's final file.

?
Medicare Payment Limit ?
$3.519
/ HCPCS billing unit · Q3 2026
APC Payment Limit ?
$3.519
/ HCPCS billing unit · APC 9183
ASP ?
$•••.••
Login to view
WAC · AWP ?
$•••.••
Login to view
NDCs Crosswalked ?
4
View NDC crosswalk →

Drug & Product Overview

HCPCS Descriptor Injection, plazomicin, 5 mg
HCPCS Added Date October 1, 2019
Manufacturer Cipla
Route of Administration Intravenous
Generic Status Single-Source; Branded
Dosage Type Single-Dose
Dosage Form Injection

About ZEMDRI

Zemdri is a medication aligned to the HCPCS J Code: J0291 for billing, pricing, and reimbursement purposes in the United States. This Antibiotic medication is administered via the intravenous route and manufactured by Cipla.

According to CMS Drug Use Information: This medication is used to treat a variety of bacterial infections. Plazomicin belongs to a class of drugs known as aminoglycoside 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 1 of 4 NDCs — log in for the full crosswalk.

Login to view 3 more NDC packages View pricing, complete NDC-to-HCPCS alignments, and package details.
Login →

ZEMDRI Pricing & Reimbursement

J0291 Private Payer Reimbursement
$3.40 / HCPCS unit as of Jan 2026

National median reimbursement across major commercial payers.

Create an account on PayerPrice for more information →
UnitedHealthcare, BlueCross BlueShield, Aetna, Cigna

Historical Graphing and Billing Calculator

per HCPCS unit
As of Q3 2026

ZEMDRI 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 Zemdri (J0291) as a HCPCS code with single-dose containers. Therefore, the JW/JZ wastage modifiers could be required for billing purposes. Wastage billing guide →

ZEMDRI Medically Unlikely Edits (MUE)

The most billing units of J0291 Medicare will pay for one patient in one day, as published by CMS. 1 unit = 5 mg.

Practitioner Office & Hospital Outpatient
500 units / day
= 2,500 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.

ZEMDRI 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.

Complicated Urinary Tract Infections (cUTI), including Pyelonephritis

Login for BuyandBill.com Analytics

Unlock deeper insights with BuyandBill’s Comparative Report!

  • Compare ASP, WAC, and AWP across drugs.
  • Visualize Drug Price Movement Over Time
  • Tailor reports to drug class, manufacturer, or HCPCS Code.
  • Compare Biosimilar and 505(b)(2) products.

Frequently Asked Questions

Is there an available Zemdri billing and coding guide?
Billing and coding information for ZEMDRI can be found through Cipla. Visit Here →
Are there any available Zemdri patient assistance programs?
Our team has not identified a manufacturer-published source of patient assistance information for ZEMDRI.
Where can I find Zemdri prescribing information?
ZEMDRI prescribing information can be found at the link below. Please reach out to us if you believe this information to be innacurate or out of date. Visit Here →
Where can I find Zemdri side effect information?
Our team has not yet identified a source of side effects information for ZEMDRI. Please check back in a few weeks.
Does billing ZEMDRI require JZ/JW wastage modifiers?
CMS has identified ZEMDRI(J0291) 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.

About BuyandBill.com:

The BuyandBill.com team is dedicated to delivering high-quality coding and billing information for office-administered drugs. We continuously research HCPCS-coded medications to expand our resources and ensure data accuracy. Manufacturers: click here to sponsor your medication, and we will ensure the most accurate and detailed information is displayed.