HCPCS Code Details - J0696

HCPCS Level II Code
Drugs administered other than oral method, chemotherapy drugs
HCPCS Code J0696
Description

Long description:
Injection, ceftriaxone sodium, per 250 mg

Short description:
Ceftriaxone sodium injection

HCPCS Modifier1
HCPCS Pricing indicator 51 - Drugs
Multiple pricing indicator A - Not applicable as HCPCS priced under one methodology
Coverage code D - Special coverage instructions apply
BETOS2 code O1E - Other drugs
HCPCS Action code N - No maintenance for this code
Type of service 1 - Medical care
Effective date Effective Jan 01, 1997
Date added Added Jan 01, 1990
HCPCS Coding Procedures

HCPCS Modifiers

In HCPCS Level II, modifiers are composed of two alpha or alphanumeric characters.

Example: E0260-NU - Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress
NU” identifies the hospital bed as new equipment

ASP Drug pricing - J0696

Effective Code Dosage Payment
Limit
Vaccine AWP % Vaccine Limit Infusion AWP % DME infusion limit Blood AWP % Blood limit Clotting factor Note
Jul 1, 2021 - Sep 30, 2021 250 MG 0.56 - - - - - -
April 1, 2021 - June 30, 2021 250 MG 0.535 - - - - - -
January 1, 2021 - March 31, 2021 250 MG 0.559 - - - - - -
October 1, 2020 - December 31, 2020 250 MG 0.631 - - - - - -
July 1, 2020 - September 30, 2020 250 MG 0.53 - - - - - -

See also

  • HCPCS J0695 · Injection, ceftolozane 50 mg and tazobactam 25 mg

  • HCPCS J0697 · Injection, sterile cefuroxime sodium, per 750 mg


1 Two-digit numeric codes are Level I code modifiers copyrighted© by the American Medical Association's Current Procedural Terminology (CPT).

2 BETOS stands for “Berenson-Eggers Type Of Service”