J0697 — Injection, sterile cefuroxime sodium, per 750 mg
J0697 is a HCPCS Level II code for injection, sterile cefuroxime sodium, per 750 mg. It belongs to the Drugs Administered Other Than Oral Method section. Whether Medicare pays it depends on the coverage rule below.
Medicare coverage: Special coverage instructions apply
There are published conditions attached to this code. Check the applicable coverage policy before billing it: the code being valid is not the same as the service being covered.
From the coverage field of the CMS Alpha-Numeric HCPCS File, release 2026Q3-Jul. This states Medicare’s position on the code, not on your particular claim.
Physician fee schedule statusE
Excluded from the physician fee schedule by regulation. Payment, where it exists, comes from another fee schedule (drugs via ASP, supplies via DMEPOS, and so on).
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Want the dollar amount for your locality? The fee calculator applies your GPCI and the current conversion factor.
Medically Unlikely Edits — units per day
The most units of J0697 Medicare will pay on one date of service. Bill more on a single line and it is denied. The limit is not the same in every setting, so the row that matters is the one matching the claim you are building.
- practitioner
- 4 units MAI 3 — Date of Service Edit: Clinical · Prescribing Information
- outpatient
- 12 units MAI 3 — Date of Service Edit: Clinical · Clinical: Data
- DME supplier
- 0 — never payable MAI 3 — Date of Service Edit: Clinical · CMS Policy
The adjudication indicator decides whether exceeding the limit is worth appealing at all: MAI 1 is a line edit you can support with documentation, MAI 3 is a date-of-service edit that is also appealable, and MAI 2 is absolute — no documentation overrides it. CMS MUE 2026Q3.
The CMS record for J0697
- Long descriptor
- Injection, sterile cefuroxime sodium, per 750 mg
- Short descriptor
- Sterile cefuroxime injection
- Added
- January 1, 1990
- BETOS
- O1E
- Pricing indicator
- 51 — Other
The official wording. This is what the code means.
CMS's 28-character form, which is what shows up on a remittance advice.
When CMS introduced the code.
Berenson-Eggers Type of Service — CMS's own analytic grouping.
Drugs.
Codes adjacent to J0697
HCPCS has no hierarchy — related items simply sit next to each other in the numbering. If J0697 is not quite right, the correct code is very often within a few positions of it.
- J0689Injection, cefazolin sodium (baxter), not therapeutically equivalent to j0690, 500 mg
- J0690Injection, cefazolin sodium, 500 mg
- J0691Injection, lefamulin, 1 mg
- J0692Injection, cefepime hydrochloride, 500 mg
- J0693Injection, cefiderocol, 5 mgterminated
- J0694Injection, cefoxitin sodium, 1 gm
- J0695Injection, ceftolozane 50 mg and tazobactam 25 mg
- J0696Injection, ceftriaxone sodium, per 250 mg
- J0698Injection, cefotaxime sodium, per gm
- J0699Injection, cefiderocol, 10 mg
- J0701Injection, cefepime hydrochloride (baxter), not therapeutically equivalent to maxipime, 500 mg
- J0702Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg
- J0703Injection, cefepime hydrochloride (b braun), not therapeutically equivalent to maxipime, 500 mg
- J0706Injection, caffeine citrate, 5 mg
- J0710Injection, cephapirin sodium, up to 1 gmterminated
- J0712Injection, ceftaroline fosamil, 10 mg
Questions about J0697
What is HCPCS code J0697?
J0697 is a HCPCS Level II code for injection, sterile cefuroxime sodium, per 750 mg. It sits in the Drugs Administered Other Than Oral Method section.
Does Medicare cover J0697?
The CMS HCPCS file marks J0697 as "Special coverage instructions apply". There are published conditions attached to this code. Check the applicable coverage policy before billing it: the code being valid is not the same as the service being covered.
How is J0697 paid under the physician fee schedule?
J0697 carries PFS status code E. Excluded from the physician fee schedule by regulation. Payment, where it exists, comes from another fee schedule (drugs via ASP, supplies via DMEPOS, and so on).