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    HCPCS Details

    HCPC J0694
    Short Description Cefoxitin sodium injection
    Long Description Injection, cefoxitin sodium, 1 gm
    Pricing indicator 51
    Coverage code D
    ASC payment group code
    BETOS2 code O1E
    Action code N
    Type of service 1
    Effective date 1997-01-01
    Date Added 1992-01-01

    HCPCS/NDC Cross-Walk

    NDC HCPC Description Drug Name Labeler Name HCPCS Dosage PKG Size PKG QTY Bill Units Bill Units PKG
    00143987610 J0694 Cefoxitin sodium injection Cefoxitin Sodium HIKMA PHARMACEUTICALS USA INC. 1 GM 1 10 10 100
    00143987725 J0694 Cefoxitin sodium injection Cefoxitin Sodium HIKMA PHARMACEUTICALS USA INC. 1 GM 1 25 2 50
    00143987825 J0694 Cefoxitin sodium injection Cefoxitin Sodium HIKMA PHARMACEUTICALS USA INC. 1 GM 1 25 1 25
    00264312311 J0694 Cefoxitin sodium injection Cefoxitin Sodium B. BRAUN MEDICAL INC. 1 GM 1 24 1 24
    00264312511 J0694 Cefoxitin sodium injection Cefoxitin Sodium B. BRAUN MEDICAL INC. 1 GM 1 24 2 48
    25021010910 J0694 Cefoxitin sodium injection Cefoxitin Sodium SAGENT PHARMACEUTICALS INC 1 GM 1 10 1 10
    25021011020 J0694 Cefoxitin sodium injection Cefoxitin Sodium SAGENT PHARMACEUTICALS INC 1 GM 1 10 2 20
    25021011199 J0694 Cefoxitin sodium injection Cefoxitin Sodium SAGENT PHARMACEUTICALS INC 1 GM 1 10 10 100
    44567024525 J0694 Cefoxitin sodium injection Cefoxitin Sodium WG CRITICAL CARE 1 GM 1 25 1 25
    44567024625 J0694 Cefoxitin sodium injection Cefoxitin Sodium WG CRITICAL CARE 1 GM 1 25 2 50
    44567024710 J0694 Cefoxitin sodium injection Cefoxitin Sodium WG CRITICAL CARE 1 GM 1 10 10 100
    63323034125 J0694 Cefoxitin sodium injection Cefoxitin Sodium FRESENIUS KABI 1 GM 1 25 1 25
    63323034129 J0694 Cefoxitin sodium injection Cefoxitin Sodium FRESENIUS KABI 1 GM 1 25 1 25
    63323034225 J0694 Cefoxitin sodium injection Cefoxitin Sodium FRESENIUS KABI 1 GM 1 25 2 50
    63323034229 J0694 Cefoxitin sodium injection Cefoxitin Sodium FRESENIUS KABI 1 GM 1 25 2 50
    The ASP crosswalks are maintained by the Division of Data Analysis and Market Based Pricing to support ASP-based Medicare Part B payments only. The crosswalks are intended to help the public (including entities that submit manufacturer ASP data and providers who bill for drugs) understand which drug products (identified by NDCs) are assigned to which HCPCS billing codes. The crosswalks are not intended to be a comprehensive list of all drugs/NDCs available in the United States. The NDC to HCPCS Crosswalk also includes information on the NDC package size and the number of billable units (as defined by the HCPCS code descriptor). Comments on the file may be sent to [email protected].

    HCPCS Billing Calculator

    Dosage given to patient (per dose)
    HCPCS Dosage 1 GM
    HCPCS/CPT Billing Units 1
    Total doses ordered
    Billing Units 1