2025 HCPCS code J0690

Cefazolin sodium injection; up to 500mg.

Refer to CMS HCPCS coding guidelines and payer-specific policies for billing instructions.Consider using modifiers for discarded amounts.

Modifiers such as JW (drug amount discarded) or JZ (zero drug amount discarded) may apply depending on the specific circumstances and payer requirements.

Cefazolin sodium should be medically necessary based on the patient's diagnosis and clinical presentation.Documentation should support the need for this antibiotic therapy.

The physician or qualified healthcare professional is responsible for ordering and overseeing the administration of the cefazolin sodium.This code only covers the drug supply; separate codes may be used for administration.

IMPORTANT No specific alternate codes provided.However, other J-codes represent different injectable drugs.

In simple words: This code is for the supply of the antibiotic cefazolin sodium, used to fight bacterial infections. One dose is up to 500mg, given as a shot or through an IV.

This HCPCS code represents the supply of cefazolin sodium, an antibiotic used to treat bacterial infections.One unit of J0690 covers up to 500 mg of cefazolin sodium, administered via intramuscular (IM) or intravenous (IV) injection (slow, intermittent, or continuous infusion).

Example 1: A patient presents to the emergency department with a severe bacterial skin infection. The physician orders 500mg of cefazolin sodium to be administered intravenously. J0690 is reported for the supply of the drug., A patient is admitted to the hospital for surgery.Prophylactic antibiotics are ordered, including 500mg of cefazolin sodium given intravenously before the procedure. J0690 is reported for the drug's supply., A patient in an outpatient clinic receives an intramuscular injection of 250mg cefazolin sodium for a localized infection. One unit of J0690 is reported for the supplied drug.

* Physician's order for cefazolin sodium.* Documentation specifying the amount of cefazolin sodium supplied (up to 500mg).* Documentation of the route of administration (IM or IV).* Medical necessity justification for the use of cefazolin sodium.

** This code only represents the supply of cefazolin sodium.Separate HCPCS codes are used to bill for administration of the drug.Always refer to specific payer guidelines.

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