HCPCS code lookup

HCPCS Level II

J0295

Injection, ampicillin sodium/sulbactam sodium, per 1.5 gm

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Code
J0295
Description
Injection, ampicillin sodium/sulbactam sodium, per 1.5 gm

CMS HCPCS quarterly update

NDC crosswalk

  • 00049-0013-83 Unasyn, Pfizer Inc. Billable units per 11-digit NDC: 10.
  • 00049-0014-83 Unasyn, Pfizer Inc. Billable units per 11-digit NDC: 20.
  • 00049-0024-28 Unasyn, Pfizer Inc. Billable units per 11-digit NDC: 10.
  • 00409-2689-01 Ampicillin-Sulbactam, Pfizer Inc. Billable units per 11-digit NDC: 10.
  • 00409-2987-03 Ampicillin-Sulbactam, Pfizer Inc. Billable units per 11-digit NDC: 20.
  • 00641-6116-10 Ampicillin-Sulbactam, Hikma Pharmaceuticals USA Inc.. Billable units per 11-digit NDC: 10.
  • 00641-6117-10 Ampicillin-Sulbactam, Hikma Pharmaceuticals USA Inc.. Billable units per 11-digit NDC: 20.
  • 00641-6118-01 Ampicillin-Sulbactam, Hikma Pharmaceuticals USA Inc.. Billable units per 11-digit NDC: 10.
  • 25021-0142-20 Ampicillin-Sulbactam, Sagent Pharmaceuticals. Billable units per 11-digit NDC: 10.
  • 25021-0143-30 Ampicillin-Sulbactam, Sagent Pharmaceuticals. Billable units per 11-digit NDC: 20.
  • 25021-0144-99 Ampicillin-Sulbactam, Sagent Pharmaceuticals. Billable units per 11-digit NDC: 10.
  • 25021-0188-99 Ampicillin-Sulbactam, Sagent Pharmaceuticals. Billable units per 11-digit NDC: 10.
  • 44567-0150-10 Ampicillin-Sulbactam, WG Critical Care, LLC. Billable units per 11-digit NDC: 20.
  • 44567-0210-10 Ampicillin-Sulbactam, WG Critical Care, LLC. Billable units per 11-digit NDC: 10.
  • 44567-0211-10 Ampicillin-Sulbactam, WG Critical Care, LLC. Billable units per 11-digit NDC: 20.
  • 44567-0212-01 Ampicillin-Sulbactam, WG Critical Care, LLC. Billable units per 11-digit NDC: 10.
  • 55150-0116-10 Ampicillin-Sulbactam, Eugia US LLC. Billable units per 11-digit NDC: 10.
  • 55150-0116-20 Ampicillin-Sulbactam, Eugia US LLC. Billable units per 11-digit NDC: 10.
  • 55150-0117-10 Ampicillin-Sulbactam, Eugia US LLC. Billable units per 11-digit NDC: 20.
  • 55150-0117-20 Ampicillin-Sulbactam, Eugia US LLC. Billable units per 11-digit NDC: 20.
  • 55150-0118-01 Ampicillin-Sulbactam, Eugia US LLC. Billable units per 11-digit NDC: 10.
  • 55150-0118-99 Ampicillin-Sulbactam, Eugia US LLC. Billable units per 11-digit NDC: 10.
  • 66794-0206-41 Ampicillin-Sulbactam, Piramal Critical Care Inc. Billable units per 11-digit NDC: 10.
  • 66794-0208-15 Ampicillin-Sulbactam, Piramal Critical Care Inc. Billable units per 11-digit NDC: 10.
  • 71288-0005-20 Ampicillin-Sulbactam, Meitheal Pharmaceuticals Inc.. Billable units per 11-digit NDC: 10.
  • 71288-0006-30 Ampicillin-Sulbactam, Meitheal Pharmaceuticals Inc.. Billable units per 11-digit NDC: 20.
  • 71288-0007-75 Ampicillin-Sulbactam, Meitheal Pharmaceuticals Inc.. Billable units per 11-digit NDC: 10.
  • 71288-0031-21 Ampicillin-Sulbactam, Meitheal Pharmaceuticals Inc.. Billable units per 11-digit NDC: 10.
  • 71288-0031-92 Ampicillin-Sulbactam, Meitheal Pharmaceuticals Inc.. Billable units per 11-digit NDC: 10.
  • 71288-0032-21 Ampicillin-Sulbactam, Meitheal Pharmaceuticals Inc.. Billable units per 11-digit NDC: 20.
  • 71288-0032-92 Ampicillin-Sulbactam, Meitheal Pharmaceuticals Inc.. Billable units per 11-digit NDC: 20.
  • 71288-0033-75 Ampicillin-Sulbactam, Meitheal Pharmaceuticals Inc.. Billable units per 11-digit NDC: 10.
  • 71288-0033-91 Ampicillin-Sulbactam, Meitheal Pharmaceuticals Inc.. Billable units per 11-digit NDC: 10.
  • 72485-0416-10 Ampicillin-Sulbactam, Armas Pharmaceuticals Inc.. Billable units per 11-digit NDC: 10.
  • 72485-0417-10 Ampicillin-Sulbactam, Armas Pharmaceuticals Inc.. Billable units per 11-digit NDC: 20.
  • 72485-0418-15 Ampicillin-Sulbactam, Armas Pharmaceuticals Inc.. Billable units per 11-digit NDC: 10.
  • 72572-0021-10 Ampicillin-Sulbactam, Civica, Inc.. Billable units per 11-digit NDC: 10.
  • 72572-0022-10 Ampicillin-Sulbactam, Civica, Inc.. Billable units per 11-digit NDC: 20.
  • 72572-0136-10 Ampicillin-Sulbactam, Civica, Inc.. Billable units per 11-digit NDC: 20.
  • 72603-0220-10 Ampicillin-Sulbactam, Northstar RxLLC. Billable units per 11-digit NDC: 10.
  • 72603-0335-10 Ampicillin-Sulbactam, Northstar RxLLC. Billable units per 11-digit NDC: 20.
  • 72603-0444-01 Ampicillin-Sulbactam, Northstar RxLLC. Billable units per 11-digit NDC: 100.
  • 83634-0108-99 Ampicillin-Sulbactam, Avenacy Inc.. Billable units per 11-digit NDC: 10.
  • 83634-0110-20 Ampicillin-Sulbactam, Avenacy Inc.. Billable units per 11-digit NDC: 20.

Source: CMS ASP NDC-HCPCS crosswalk, effective October 1, 2026 through December 31, 2026.

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