Skip to main content

J0694 HCPCS Level II Code: Injection, cefoxitin sodium, 1 gm

Medicare Coverage & Payment

  • CMS short descriptor: Cefoxitin sodium injection
  • Medicare coverage: Special coverage instructions apply (CMS coverage code D)
  • Payment category: Drugs (pricing indicator 51)
  • BETOS: O1E — Other drugs
  • Last CMS action effective: January 1, 1997

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

  • January 1, 1992
    Added to the code set
    Injection, cefoxitin sodium, 1 gm

Drug products (NDC)

CMS ASP NDC-HCPCS Crosswalk · 2026 Q3

Medicare Part B payment limit (ASP + 6%): $4.29

00143-9876-10 Cefoxitin Sodium — Hikma Pharmaceuticals USA Inc. (size 1 × qty 10 (1 GM per billing unit))

00143-9877-25 Cefoxitin Sodium — Hikma Pharmaceuticals USA Inc. (size 1 × qty 25 (1 GM per billing unit))

00143-9878-25 Cefoxitin Sodium — Hikma Pharmaceuticals USA Inc. (size 1 × qty 25 (1 GM per billing unit))

00264-3123-11 Cefoxitin Sodium — B. Braun Medical Inc. (size 1 × qty 24 (1 GM per billing unit))

00264-3125-11 Cefoxitin Sodium — B. Braun Medical Inc. (size 1 × qty 24 (1 GM per billing unit))

25021-0109-10 Cefoxitin Sodium — Sagent Pharmaceuticals (size 1 × qty 10 (1 GM per billing unit))

25021-0110-20 Cefoxitin Sodium — Sagent Pharmaceuticals (size 1 × qty 10 (1 GM per billing unit))

25021-0111-99 Cefoxitin Sodium — Sagent Pharmaceuticals (size 1 × qty 10 (1 GM per billing unit))

44567-0245-25 Cefoxitin Sodium — WG Critical Care, LLC (size 1 × qty 25 (1 GM per billing unit))

44567-0246-25 Cefoxitin Sodium — WG Critical Care, LLC (size 1 × qty 25 (1 GM per billing unit))

44567-0247-10 Cefoxitin Sodium — WG Critical Care, LLC (size 1 × qty 10 (1 GM per billing unit))

63323-0341-25 Cefoxitin Sodium — FreseniUS Kabi USA, LLC (size 1 × qty 25 (1 GM per billing unit))

63323-0341-29 Cefoxitin Sodium — FreseniUS Kabi USA, LLC (size 1 × qty 25 (1 GM per billing unit))

63323-0342-25 Cefoxitin Sodium — FreseniUS Kabi USA, LLC (size 1 × qty 25 (1 GM per billing unit))

63323-0342-29 Cefoxitin Sodium — FreseniUS Kabi USA, LLC (size 1 × qty 25 (1 GM per billing unit))

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 J0694 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 (40)

Change history

  • January 1, 1992 — Added to the code set [Change history]

Nearest Codes in This Family

Official HCPCS Level II classifications closest to J0694 in its code family, with their registry titles.