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J0525 - HCPCS Level II | Verity

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HCPCS Level IIdrugActive

J0525

Inj cefotetan disodium 10 mg

BETOS: O1E

Effective: 2025-10-01

Description

Injection, cefotetan disodium, 10 mg

Drug Products

FDA-registered drug products mapped to this HCPCS code

Cefotan1

Cefotetan

NDC: 00121-0976-10INJECTION, POWDER, FOR SOLUTIONIJ

PAI Holdings, LLC dba PAI Pharma

Billing: EA

Cefotan2

Cefotetan

NDC: 00121-0977-10INJECTION, POWDER, FOR SOLUTIONIJ

PAI Holdings, LLC dba PAI Pharma

Billing: EA

CEFOTETAN DISODIUM 1 GM

NDC: 63323-0385-10IJ

Billing: EA

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Medicare Part B Drug Pricing

ASP-Based Payment

This drug code is paid under Medicare Part B using the Average Sales Price (ASP) + 6% methodology.

ASP pricing data not currently available for this code.

Coverage Policies

No coverage policies currently reference this code

This code is not currently listed in any LCD or NCD coverage policies in our database.

About HCPCS Level II

Healthcare Common Procedure Coding System Level II codes for supplies, equipment, and non-physician services

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