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J0696

Ceftriaxone Sodium

Brand: RocephinGeneric: Ceftriaxone Sodium Teva

NDC (11-digit)

00703-4729-01

NDC (10-digit)

0703-4729-01

UOM

UN

JW/JZ Modifier

Required

Important: NDC billing requirements vary by payer and are updated periodically. Always verify with current CMS guidelines, payer-specific NDC policies, and the FDA NDC Directory. This information is for educational purposes only and does not guarantee payment or coding accuracy.

NDC Structure

Labeler Code

00703

Manufacturer/Labeler

Product Code

4729

Drug Product

Package Code

01

Package Size

Package SizeSingle-use vial
Dosage FormInjection, powder for solution
Strength500 mg
RouteIntravenous (IV) / Intramuscular (IM)
10-digit NDC0703-4729-01
11-digit NDC00703-4729-01
Unit of MeasureUN
Units per HCPCS250 mg per unit

Code Relationships

HCPCS / J Codes

J0696

J Codes

J0696

Common CPT Relationships

96372963749636096365

Typical Specialties

Infectious DiseaseInternal MedicineEmergency Medicine

Documentation Requirements

  • Diagnosis supporting medical necessity (e.g., bacterial infection)
  • Dose administered and route (IV or IM)
  • NDC in 11-digit format on claim
  • JW or JZ modifier for single-use vial

Common Billing Mistakes

  • Incorrect unit calculation (J0696 = 250 mg per unit, so 500 mg = 2 units)
  • Missing JW or JZ modifier for single-use vial
  • NDC in wrong format

Common Denials & Rejections

Denials

  • CO-16: Missing or invalid NDC
  • CO-50: Not medically necessary

Rejections

  • NDC format error
  • Missing JW/JZ modifier

Related CARC Codes

CO-16CO-50

Related RARC Codes

N130

Related Modifiers

JWJZ

Related Payer Policies

  • Medicare covers for FDA-approved bacterial infections
  • Most payers accept without prior authorization