HCPCS J0457

Injection, aztreonam, 100 mg

HCPCS Code: J0457: 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 J0457 identifies the type of service or supply used while any of the 11 NDC codes below could be used to specify the exact drug used.
Short Description: Injection, aztreonam, 100 mg
Long Description: Injection, aztreonam, 100 mg
Pricing Indicator: Drugs
Multiple Pricing Indicator: Not applicable as HCPCS priced under one methodology
Coverage Description: Carrier judgment
BETOS Type of Service: Other drugs
Medicare Payment Limit: $2.67
Medicare Co-Insurance Percentage: 20.000%
HCPCS Classification: List of HCPCS codes for: Drugs Administered Other Than Oral Method, Chemotherapy Drugs (J-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
0003-2560	Azactam	Aztreonam	Injection, Powder, For Solution	Intramuscular; Intravenous	E.r. Squibb & Sons, L.l.c.	ACTIVE
0003-2570	Azactam	Aztreonam	Injection, Powder, For Solution	Intramuscular; Intravenous	E.r. Squibb & Sons, L.l.c.	ACTIVE
0409-0829	Aztreonam	Aztreonam	Injection, Powder, Lyophilized, For Solution	Intramuscular; Intravenous	Hospira, Inc.	ACTIVE
0409-0830	Aztreonam	Aztreonam	Injection, Powder, Lyophilized, For Solution	Intramuscular; Intravenous	Hospira, Inc.	ACTIVE
50090-7494	Azactam	Aztreonam	Injection, Powder, For Solution	Intramuscular; Intravenous	A-s Medication Solutions	ACTIVE
63323-401	Aztreonam	Aztreonam	Injection, Powder, Lyophilized, For Solution	Intramuscular; Intravenous	Fresenius Kabi Usa, Llc	ACTIVE
63323-401	Aztreonam	Aztreonam	Injection, Powder, Lyophilized, For Solution	Intramuscular; Intravenous	Fresenius Kabi Usa, Llc	ACTIVE
63323-401	Aztreonam	Aztreonam	Injection, Powder, Lyophilized, For Solution	Intramuscular; Intravenous	Fresenius Kabi Usa, Llc	ACTIVE
63323-402	Aztreonam	Aztreonam	Injection, Powder, Lyophilized, For Solution	Intramuscular; Intravenous	Fresenius Kabi Usa, Llc	ACTIVE
63323-402	Aztreonam	Aztreonam	Injection, Powder, Lyophilized, For Solution	Intramuscular; Intravenous	Fresenius Kabi Usa, Llc	ACTIVE
63323-402	Aztreonam	Aztreonam	Injection, Powder, Lyophilized, For Solution	Intramuscular; Intravenous	Fresenius Kabi Usa, Llc	ACTIVE