HCPCS code J2865 — Inj sulfameth/trim 5 mg/1 mg. Status: Active. Effective Apr 1, 2025. Source: CMS HCPCS Level II.

J2865

Active

Inj sulfameth/trim 5 mg/1 mg

Injection, sulfamethoxazole 5 mg and trimethoprim 1 mg

Category: Drugs
Section: J-codes: Drugs Administered Other Than Oral Method
Effective: Apr 1, 2025
Code type: alphanumeric
OPPS Status: N — Items / services packaged into APC rates

MUE — Medically Unlikely Edits

Maximum units of J2865 Medicare will pay for one beneficiary on one date of service. Claims exceeding the MUE are denied or returned for review.

Service Type Max Units / Day
DME Supplier 3000
Outpatient Hospital 3000
Practitioner Services 3000

Source: CMS Medicare NCCI Medically Unlikely Edits

NDC Crosswalk

National Drug Codes (NDCs) mapped to this HCPCS code.

NDC Drug Name
00703-9503-03 Sulfamethoxazole-Trimethoprim
00703-9514-03 Sulfamethoxazole-Trimethoprim
00703-9514-83 Sulfamethoxazole-Trimethoprim
00703-9514-93 Sulfamethoxazole-Trimethoprim
00703-9526-01 Sulfamethoxazole-Trimethoprim
00703-9526-81 Sulfamethoxazole/Trimethoprim
67457-0778-05 Sulfamethoxazole-Trimethoprim
67457-0779-30 Sulfamethoxazole-Trimethoprim
67457-0921-05 Sulfamethoxazole-Trimethoprim
67457-0922-30 Sulfamethoxazole-Trimethoprim
70069-0361-10 Sulfamethoxazole-Trimethoprim
70069-0362-10 Sulfamethoxazole-Trimethoprim
70069-0363-01 Sulfamethoxazole-Trimethoprim

Change History

Quarterly changes published by CMS. Revisions may affect the code description, coverage, or rate — review each quarter's changes before submitting claims.

  • New Code 2025-Q2
    Inj sulfameth/trim 5 mg/1 mg