J0696 - Ceftriaxone sodium antibiotic injection, billed per 250 mg dose

Healthcare Common Procedure Coding System

Last updated: 10/30/2025

What is a HCPCS Code?

HCPCS (Healthcare Common Procedure Coding System) codes are used to identify medical procedures, supplies, and services for billing purposes. These codes help standardize how healthcare services are reported and billed across different providers and insurance companies.

Detailed Description

This code represents billing for ceftriaxone sodium, a powerful antibiotic medication given by injection (either into a vein or muscle). The code covers each 250 mg portion of the medication administered. Ceftriaxone is a broad-spectrum antibiotic used to treat various bacterial infections. This is specifically the billing code for the medication itself, not the administration procedure.

Additional Information

This code is used for billing the medication only. Separate codes would apply for the injection administration service. Dosing and frequency depend on the specific infection being treated and patient factors.

Category

Injectable Medications

Medical Specialty

Multiple specialties (Emergency Medicine, Internal Medicine, Infectious Disease, etc.)

Expected Costs

We expect this to normally be in the range of:

$10 - $50

This is an estimate based on typical billing patterns. Your actual cost may vary depending on your insurance coverage, provider location, and specific circumstances.

What's Required Before This

  • Medical evaluation
  • Prescription from healthcare provider
  • Allergy screening

What to Expect After

  • Monitor for allergic reactions
  • Complete full course as prescribed
  • Follow-up as directed by provider

Why Understanding This Code Matters

On Your Medical Bill

This code appears on your medical bills to identify the specific service, procedure, drug, or medical diagnosis you received. Understanding what it means helps you verify you're being charged correctly and know what to expect.

For Your Health

Knowing what this code represents helps you understand your treatment plan, ask better questions during appointments, and track your healthcare journey more effectively.

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