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See a sample rate comparisonHCPCS J0703 (Cefepime Hcl In Dextrose) Fee Schedule
Last Verified: September 2026
Healthcare providers use this code to document and receive reimbursement for visits that address moderate-level medical decision-making, often including multiple diagnoses or prescription management.
Injection, cefepime hydrochloride (b braun), not therapeutically equivalent to maxipime, 500 mg
| Key Fact | Detail |
|---|---|
| Service Type | Drugs Administered Other than Oral Method Drugs, Administered by Injection |
| Common Place of Service | None 11 - Office 20 - Urgent Care Facility |
| Complexity Level | Low |
| Medicaid Fee Schedule | View Medicaid rates for J0703 |
| Medicare Payment Limit | $4.958  |
| WAC Price | Lorem ipsum dolor sit amet consectetur Lorem ipsum dolor sit amet consectetur VisitBuyandBill.com |
National average reimbursement for HCPCS J0703 by major payers:
$5.29
$5.28
$5.92
$5.33
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HCPCS J0703
5 of 25 sample ratesHigher to lower in this preview
The Moses H. Cone Memorial Hospital Operating Corporation
The Moses H Cone Memorial Hospital Operating Corporation
$11.02Published rateVelko Voynov
Maimonides Medical Center
$5.82Published ratePresbyterian Healthcare Services, Presbyterian Hospital
Presbyterian Healthcare Services
$5.13Published rateNorwell Health At Southside Hospital
South Shore University Hospital
$4.92Published rateSuhaib Andrabi
New York City Health And Hospitals Corporation
$3.25Published rate
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See a sample payer proposalHCPCS J0703 vs. Other Drugs, Administered by Injection Codes
The HCPCS J0703 code is part of the Drugs Administered Other than Oral Method services used for Drugs, Administered by Injection. It represents a moderate-complexity encounter and is one of several codes that vary based on time spent, level of medical decision-making, and documentation requirements.
The HCPCS J0703 code involves more provider time and moderate medical decision-making, unlike lower-level codes that require less time and simpler assessments. It typically includes multiple diagnoses, medication management, or test interpretation, leading to higher reimbursement and more detailed documentation requirements.
| Code | Complexity | Description |
|---|---|---|
| J0702-HCPCS | Low | Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg |
| J0703-HCPCS | Low | Injection, cefepime hydrochloride (b braun), not therapeutically equivalent to maxipime, 500 mg |
| J0706-HCPCS | Low | Injection, Caffeine Citrate, 5 mg |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including HCPCS J0703. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the J0703 fee schedule helps patients estimate costs and providers optimize billing for accurate reimbursements.
Factors that affect fee schedules
Medicare & Medicaid Rates
Government-set reimbursement amounts
Private Insurance Rates
Negotiated rates between providers and insurance companies
Geographic Location
Costs may be higher in urban areas.
Provider Type
Hospital providers may have different rates than private practice.
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