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J0457 HCPCS Level II Code: Injection, aztreonam, 100 mg

Coding at a Glance

Drug products
11 NDC products

Medicare Coverage & Payment

  • Medicare coverage: Carrier judgment (CMS coverage code C)
  • Payment category: Drugs (pricing indicator 51)
  • BETOS: O1E — Other drugs
  • Last CMS action effective: January 1, 2024

Source: CMS HCPCS Level II release. Coverage codes indicate how Medicare treats the code, not whether a specific claim will be paid; payer policy and documentation still govern.

Change history

  • July 1, 2023
    Added to the code set
    Injection, aztreonam, 100 mg

Drug products (NDC)

CMS ASP NDC-HCPCS Crosswalk · 2026 Q3

Medicare Part B payment limit (ASP + 6%): $2.27

00003-2560-16 Azactam — E.R. Squibb & Sons, L.L.C. (size 1 × qty 10 (100 MG per billing unit))

00003-2570-16 Azactam — E.R. Squibb & Sons, L.L.C. (size 1 × qty 10 (100 MG per billing unit))

00409-0829-01 Aztreonam — Pfizer Inc (size 1 × qty 10 (100 MG per billing unit))

00409-0830-01 Aztreonam — Pfizer Inc (size 1 × qty 10 (100 MG per billing unit))

50090-7494-00 Azactam — A-S Medication Solutions (size 1 × qty 10 (100 MG per billing unit))

63323-0401-20 Aztreonam — FreseniUS Kabi USA, LLC (size 1 × qty 10 (100 MG per billing unit))

63323-0401-24 Aztreonam — FreseniUS Kabi USA, LLC (size 1 × qty 10 (100 MG per billing unit))

63323-0401-26 Aztreonam — FreseniUS Kabi USA, LLC (size 1 × qty 10 (100 MG per billing unit))

63323-0402-20 Aztreonam — FreseniUS Kabi USA, LLC (size 1 × qty 10 (100 MG per billing unit))

63323-0402-24 Aztreonam — FreseniUS Kabi USA, LLC (size 1 × qty 10 (100 MG per billing unit))

63323-0402-30 Aztreonam — FreseniUS Kabi USA, LLC (size 1 × qty 10 (100 MG per billing unit))

Related Codes

Poisoning, adverse-effect and underdosing codes for this drug

The ICD-10-CM Table of Drugs and Chemicals carries these diagnosis codes for this drug — a drug-name match derived from the CMS ASP crosswalk and the Table of Drugs and Chemicals, not a CMS-published pairing.

T36.1X1 — Poisoning by cephalosporins and other beta-lactam antibiotics, accidental (unintentional), T36.1X2 — Poisoning by cephalosporins and other beta-lactam antibiotics, intentional self-harm, T36.1X3 — Poisoning by cephalosporins and other beta-lactam antibiotics, assault, T36.1X4 — Poisoning by cephalosporins and other beta-lactam antibiotics, undetermined, T36.1X5 — Adverse effect of cephalosporins and other beta-lactam antibiotics, T36.1X6 — Underdosing of cephalosporins and other beta-lactam antibiotics

From the CMS ASP NDC-HCPCS Crosswalk and Part B Payment Limit File. Payment limits apply per HCPCS billing code, not per package.

Contextual Map

Every relationship of J0457 in one view: hierarchy, official tabular instructions in both directions, clinical classification, risk adjustment, MS-DRG participation, index terms and change history — each edge carrying the CMS source it derives from.

Nearest codes (15)

Change history

  • July 1, 2023 — Added to the code set [Change history]

Nearest Codes in This Family

Official HCPCS Level II classifications closest to J0457 in its code family, with their registry titles.