J0694

Code

J0694

Description

Injection, cefoxitin sodium, 1 gm

CMS HCPCS quarterly update

• 00143-9876-10 Cefoxitin Sodium, Hikma Pharmaceuticals USA Inc.. Billable units per 11-digit NDC: 100.
• 00143-9877-25 Cefoxitin Sodium, Hikma Pharmaceuticals USA Inc.. Billable units per 11-digit NDC: 50.
• 00143-9878-25 Cefoxitin Sodium, Hikma Pharmaceuticals USA Inc.. Billable units per 11-digit NDC: 25.
• 00264-3123-11 Cefoxitin Sodium, B. Braun Medical Inc.. Billable units per 11-digit NDC: 24.
• 00264-3125-11 Cefoxitin Sodium, B. Braun Medical Inc.. Billable units per 11-digit NDC: 48.
• 25021-0109-10 Cefoxitin Sodium, Sagent Pharmaceuticals. Billable units per 11-digit NDC: 10.
• 25021-0110-20 Cefoxitin Sodium, Sagent Pharmaceuticals. Billable units per 11-digit NDC: 20.
• 25021-0111-99 Cefoxitin Sodium, Sagent Pharmaceuticals. Billable units per 11-digit NDC: 100.
• 44567-0245-25 Cefoxitin Sodium, WG Critical Care, LLC. Billable units per 11-digit NDC: 25.
• 44567-0246-25 Cefoxitin Sodium, WG Critical Care, LLC. Billable units per 11-digit NDC: 50.
• 44567-0247-10 Cefoxitin Sodium, WG Critical Care, LLC. Billable units per 11-digit NDC: 100.
• 63323-0341-25 Cefoxitin Sodium, FreseniUS Kabi USA, LLC. Billable units per 11-digit NDC: 25.
• 63323-0341-29 Cefoxitin Sodium, FreseniUS Kabi USA, LLC. Billable units per 11-digit NDC: 25.
• 63323-0342-25 Cefoxitin Sodium, FreseniUS Kabi USA, LLC. Billable units per 11-digit NDC: 50.
• 63323-0342-29 Cefoxitin Sodium, FreseniUS Kabi USA, LLC. Billable units per 11-digit NDC: 50.

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