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HCPCS J0295

Injection, ampicillin sodium/sulbactam sodium, per 1.5 gm

Table of Contents

  1. HCPCS Information
  2. HCPCS Crossover to NDC Codes

HCPCS Information

HCPCS Code: J0295
The Healthcare Common Procedure Coding System (HCPCS) is a set of unique alphanumeric codes used to report medical procedures and services to healthcare programs like Medicare and Medicaid. HCPCS codes are used in conjunction with NDC codes for billing and medical documentation puporses. For instance, HCPCS J0295 identifies the type of service or supply used while any of the 61 NDC codes below could be used to specify the exact drug used.
Short Description
Ampicillin sulbactam 1.5 gm
Long Description
Injection, ampicillin sodium/sulbactam sodium, per 1.5 gm
Pricing Indicator
Drugs
Multiple Pricing Indicator
Not applicable as HCPCS priced under one methodology
Coverage Description
Special coverage instructions apply
BETOS Type of Service
Other drugs
Medicare Payment Limit
$1.33
Medicare Co-Insurance Percentage
20.000%
HCPCS Classification
List of HCPCS codes for: Drugs Administered Other Than Oral Method, Chemotherapy Drugs (J-codes)

HCPCS Crossover to NDC Codes

The NDC codes below allow precise billing based on the specific manufacturer and medication used:

NDC Proprietary Name Non-Proprietary Name Dosage Form Route Name Company Name Status
0049-0013Unasyn Ampicillin Sodium And Sulbactam SodiumInjection, Powder, For SolutionIntramuscular; IntravenousRoerigACTIVE
0049-0014Unasyn Ampicillin Sodium And Sulbactam SodiumInjection, Powder, For SolutionIntramuscular; IntravenousRoerigACTIVE
0049-0024Unasyn Ampicillin Sodium And Sulbactam SodiumInjection, Powder, For SolutionIntramuscular; IntravenousRoerigACTIVE
0049-0024Unasyn Roerig
0409-2689Ampicillin And Sulbactam Hospira, Inc
0409-2689Ampicillin And Sulbactam Hospira, Inc
0409-2987Ampicillin And Sulbactam Hospira, Inc
0409-2987Ampicillin And Sulbactam Hospira, Inc
0641-6116Ampicillin And Sulbactam Ampicillin And SulbactamInjection, Powder, For SolutionIntravenousHikma Pharmaceuticals Usa Inc.ACTIVE
0641-6117Ampicillin And Sulbactam Ampicillin And SulbactamInjection, Powder, For SolutionIntravenousHikma Pharmaceuticals Usa Inc.ACTIVE
0641-6118Ampicillin And Sulbactam Ampicillin And SulbactamInjection, Powder, For SolutionIntravenousHikma Pharmaceuticals Usa Inc.ACTIVE
0781-3033Ampicillin And Sulbactam Sandoz Inc
25021-142Ampicillin And Sulbactam Ampicillin And SulbactamInjection, Powder, For SolutionIntramuscular; IntravenousSagent PharmaceuticalsACTIVE
25021-143Ampicillin And Sulbactam Ampicillin And SulbactamInjection, Powder, For SolutionIntramuscular; IntravenousSagent PharmaceuticalsACTIVE
25021-144Ampicillin And Sulbactam Ampicillin And SulbactamInjection, Powder, For SolutionIntravenousSagent PharmaceuticalsACTIVE
25021-186Ampicillin And Sulbactam Sagent Pharmaceuticals
25021-187Ampicillin And Sulbactam Sagent Pharmaceuticals
25021-188Ampicillin And Sulbactam Sagent Pharmaceuticals
44567-150Ampicillin And Sulbactam Ampicillin And SulbactamInjection, Powder, For SolutionIntramuscular; IntravenousWg Critical Care, LlcACTIVE
44567-210Ampicillin And Sulbactam Ampicillin And SulbactamInjection, Powder, For SolutionIntramuscular; IntravenousWg Critical Care, LlcACTIVE
44567-211Ampicillin And Sulbactam Ampicillin And SulbactamInjection, Powder, For SolutionIntramuscular; IntravenousWg Critical Care, LlcACTIVE
44567-212Ampicillin And Sulbactam Ampicillin And SulbactamInjection, Powder, For SolutionIntravenousWg Critical Care, LlcACTIVE
55150-116Ampicillin And Sulbactam Ampicillin Sodium And Sulbactam SodiumInjection, Powder, For SolutionIntramuscular; IntravenousEugia Us LlcACTIVE
55150-116Ampicillin And Sulbactam Ampicillin Sodium And Sulbactam SodiumInjection, Powder, For SolutionIntramuscular; IntravenousEugia Us LlcACTIVE
55150-117Ampicillin And Sulbactam Ampicillin Sodium And Sulbactam SodiumInjection, Powder, For SolutionIntramuscular; IntravenousEugia Us LlcACTIVE
55150-117Ampicillin And Sulbactam Ampicillin Sodium And Sulbactam SodiumInjection, Powder, For SolutionIntramuscular; IntravenousEugia Us LlcACTIVE
55150-118Ampicillin And Sulbactam Ampicillin Sodium And Sulbactam SodiumInjection, Powder, For SolutionIntravenousEugia Us LlcACTIVE
55150-118Ampicillin And Sulbactam Ampicillin Sodium And Sulbactam SodiumInjection, Powder, For SolutionIntravenousEugia Us LlcACTIVE
66794-206Ampicillin And Sulbactam Piramal Critical Care Inc
66794-207Ampicillin And Sulbactam Piramal Critical Care Inc
66794-208Ampicillin And Sulbactam Piramal Critical Care Inc
66794-242Ampicillin And Sulbactam Piramal Critical Care Inc
66794-242Ampicillin And Sulbactam Piramal Critical Care Inc
66794-243Ampicillin And Sulbactam Piramal Critical Care Inc
67457-348Ampicillin Sodium And Sulbactam Sodium Mylan Institutional Llc
67457-349Ampicillin Sodium And Sulbactam Sodium Mylan Institutional Llc
67457-649Ampicillin Sodium And Sulbactam Sodium Mylan Institutional Llc
70594-081Ampicillin And Sulbactam Xellia Pharmaceuticals Usa Llc
70594-082Ampicillin And Sulbactam Xellia Pharmaceuticals Usa Llc
70594-083Ampicillin And Sulbactam Xellia Pharmaceuticals Usa Llc
71288-005Ampicillin And Sulbactam Meitheal Pharmaceuticals Inc.
71288-006Ampicillin And Sulbactam Meitheal Pharmaceuticals Inc.
71288-007Ampicillin And Sulbactam Meitheal Pharmaceuticals Inc.
71288-031Ampicillin And Sulbactam Ampicillin Sodium And Sulbactam SodiumInjection, Powder, For SolutionIntramuscular; IntravenousMeitheal Pharmaceuticals Inc.ACTIVE
71288-031Ampicillin And Sulbactam Ampicillin Sodium And Sulbactam SodiumInjection, Powder, For SolutionIntramuscular; IntravenousMeitheal Pharmaceuticals Inc.ACTIVE
71288-032Ampicillin And Sulbactam Ampicillin Sodium And Sulbactam SodiumInjection, Powder, For SolutionIntramuscular; IntravenousMeitheal Pharmaceuticals Inc.ACTIVE
71288-032Ampicillin And Sulbactam Ampicillin Sodium And Sulbactam SodiumInjection, Powder, For SolutionIntramuscular; IntravenousMeitheal Pharmaceuticals Inc.ACTIVE
71288-033Ampicillin And Sulbactam Ampicillin Sodium And Sulbactam SodiumInjection, Powder, For SolutionIntravenousMeitheal Pharmaceuticals Inc.ACTIVE
71288-033Ampicillin And Sulbactam Ampicillin Sodium And Sulbactam SodiumInjection, Powder, For SolutionIntravenousMeitheal Pharmaceuticals Inc.ACTIVE
72485-416Ampicillin Sodium And Sulbactam Sodium Ampicillin Sodium, Sulbactam SodiumInjection, Powder, For SolutionIntramuscular; IntravenousArmas Pharmaceuticals Inc.ACTIVE
72485-417Ampicillin Sodium And Sulbactam Sodium Ampicillin Sodium, Sulbactam SodiumInjection, Powder, For SolutionIntramuscular; IntravenousArmas Pharmaceuticals Inc.ACTIVE
72485-418Ampicillin Sodium And Sulbactam Sodium Ampicillin Sodium, Sulbactam SodiumInjection, Powder, For SolutionIntramuscular; IntravenousArmas Pharmaceuticals Inc.ACTIVE
72572-021Ampicillin And Sulbactam Civica, Inc.
72572-022Ampicillin And Sulbactam Civica, Inc.
72572-136Ampicillin Sodium And Sulbactam Sodium Ampicillin Sodium And Sulbactam SodiumInjection, Powder, For SolutionIntramuscular; IntravenousCivica, Inc.ACTIVE
72603-220Ampicillin And Sulbactam Ampicillin Sodium And Sulbactam SodiumInjection, Powder, For SolutionIntramuscular; IntravenousNorthstar Rx, LlcACTIVE
72603-335Ampicillin And Sulbactam Ampicillin Sodium And Sulbactam SodiumInjection, Powder, For SolutionIntramuscular; IntravenousNorthstar Rx, LlcACTIVE
72603-444Ampicillin And Sulbactam Ampicillin Sodium And Sulbactam SodiumInjection, Powder, For SolutionIntramuscular; IntravenousNorthstar Rx, LlcACTIVE
83634-108Ampicillin And Sulbactam Ampicillin And SulbactamInjection, Powder, For SolutionIntravenousAvenacy, LlcACTIVE
83634-109Ampicillin And Sulbactam Ampicillin And SulbactamInjection, Powder, For SolutionIntramuscular; IntravenousAvenacy, LlcACTIVE
83634-110Ampicillin And Sulbactam Ampicillin And SulbactamInjection, Powder, For SolutionIntramuscular; IntravenousAvenacy, LlcACTIVE