Home Drug Codes J Codes J0681 · ZEVTERA
Updated July 1st, 2026

ZEVTERA J Code: J0681

Injection, ceftobiprole medocaril sodium, 3 mg

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Q4 2026 Medicare Payment Limit for J0681, effective October 1, 2026: $1.098 per HCPCS billing unit, unchanged from Q3 2026. From CMS's final file.

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Medicare Payment Limit ?
$1.098
/ HCPCS billing unit · Q3 2026
APC Payment Limit ?
$1.098
/ HCPCS billing unit · APC 0879
ASP ?
$•••.••
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WAC · AWP ?
$•••.••
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NDCs Crosswalked ?
2
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Drug & Product Overview

HCPCS Descriptor Injection, ceftobiprole medocaril sodium, 3 mg
HCPCS Added Date October 1, 2025
Manufacturer La Jolla Pharmaceutical Company
Route of Administration Intravenous
Generic Status Single-Source; Branded
Dosage Form Injection, Powder, For Solution

About ZEVTERA

Zevtera is a medication aligned to the HCPCS J Code: J0681 for billing, pricing, and reimbursement purposes in the United States. This Antibiotic medication is administered via the intravenous route and manufactured by La Jolla Pharmaceutical Company.

According to CMS Drug Use Information: Ceftobiprole is 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 1 of 2 NDCs — log in for the full crosswalk.

NDC Code Drug Manufacturer Billing Units / Pkg Package Size
68547-0578-10 Zevtera La Jolla Pharmaceutical Company 2224 667 MG
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ZEVTERA Pricing & Reimbursement

J0681 Private Payer Reimbursement
$1.05 / 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

ZEVTERA 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)
Not on the CMS JW / JZ list

This product is new and does not yet appear on the CMS list of HCPCS pertaining to single-dose containers. Wastage billing guide →

ZEVTERA 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 Staphylococcus aureus Bloodstream Infection (Bacteremia)
Drug Class
Cephalosporin Antibacterial [EPC]Cephalosporins [CS]Organic Anion Transporting Polypeptide 1B1 Inhibitors [MoA]Organic Anion Transporting Polypeptide 1B3 Inhibitors [MoA]

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Frequently Asked Questions

Is there an available Zevtera billing and coding guide?
Our team has not identified a manufacturer-published source of billing and coding information for ZEVTERA.
Are there any available Zevtera patient assistance programs?
Our team has not identified a manufacturer-published source of patient assistance information for ZEVTERA.
Where can I find Zevtera prescribing information?
Zevtera prescribing information can be found through the link below. Visit Here →
Where can I find Zevtera side effect information?
Our team has not yet identified a source of prescribing information for Zevtera.
Does billing Zevtera require wastage modifiers?
CMS does not include ZEVTERA (J0681) on its list of HCPCS pertaining to single-dose containers. Per CMS guidelines, the JZ/JW wastage modifiers may not apply when billing J0681. For more information, visit the link below.

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