J2865 Injection sulfameth/trim 5 milligrams/1 milligrams
Also known as: sulfamethoxazole/trimethoprim, smx-tmp, bactrim
Injection of sulfamethoxazole/trimethoprim (SMX-TMP, Bactrim, Septra), 5 milligrams/1 milligram ratio, a combination antibiotic for broad-spectrum bacterial coverage.
In Plain Language
combination antibiotic
Clinical Context
Used for Pneumocystis pneumonia (PCP) prophylaxis and treatment in immunocompromised patients and for urinary tract and other infections.
RVU Information
CPT J2865 does not have a physician work RVU assigned by CMS. This is typical for supply, drug, and equipment codes — reimbursement is based on Average Sales Price (ASP), fee schedules, or payer contracts rather than the RVU system.
Billing & Documentation
J-codes represent drugs administered by a healthcare provider (not self-administered). Documentation must include the drug name, dosage, route of administration, and medical necessity. Most payers require the National Drug Code (NDC) on the claim. Bill the appropriate administration code (96365-96379) in addition to the drug code.
Specialties
Frequently Asked Questions
What is CPT code J2865?
CPT J2865 (Injection sulfameth/trim 5 milligrams/1 milligrams) is a J Codes (Drugs) code. Injection of sulfamethoxazole/trimethoprim (SMX-TMP, Bactrim, Septra), 5 milligrams/1 milligram ratio, a combination antibiotic for broad-spectrum bacterial coverage.
How is J2865 administered?
CPT J2865 is administered by a healthcare provider, typically via injection or infusion. Used for Pneumocystis pneumonia (PCP) prophylaxis and treatment in immunocompromised patients and for urinary tract and other infections. It is used by Infectious Disease, Internal Medicine.
When is CPT J2865 used?
Used for Pneumocystis pneumonia (PCP) prophylaxis and treatment in immunocompromised patients and for urinary tract and other infections.
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CPT® is a registered trademark of the American Medical Association. Data sourced from CMS Physician Fee Schedule RVU26A. Descriptions, synonyms, and clinical context are original content by RVU Edge.