HCPCS code J0640 — Leucovorin calcium injection.
Status: Active.
Effective Jan 1, 1997.
Source: CMS HCPCS Level II.
J0640
ActiveLeucovorin calcium injection
Injection, leucovorin calcium, per 50 mg
Category:
Drugs
Section:
J-codes: Drugs Administered Other Than Oral Method
Effective:
Jan 1, 1997
Code type:
alphanumeric
OPPS Status:
N
— Items / services packaged into APC rates
MUE — Medically Unlikely Edits
Maximum units of J0640 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 | 0 |
| Outpatient Hospital | 24 |
| Practitioner Services | 24 |
Source: CMS Medicare NCCI Medically Unlikely Edits
NDC Crosswalk
National Drug Codes (NDCs) mapped to this HCPCS code.
| NDC | Drug Name |
|---|---|
| 00143-9368-01 | Leucovorin Calcium |
| 00143-9552-01 | Leucovorin Calcium |
| 00143-9553-01 | Leucovorin Calcium |
| 00143-9554-01 | Leucovorin Calcium |
| 00143-9555-01 | Leucovorin Calcium |
| 25021-0813-10 | Leucovorin Calcium |
| 25021-0814-30 | Leucovorin Calcium |
| 25021-0815-30 | Leucovorin Calcium |
| 25021-0816-30 | Leucovorin Calcium |
| 25021-0816-67 | Leucovorin Calcium |
| 25021-0828-50 | Leucovorin Calcium |
| 63323-0631-10 | Leucovorin Calcium |
| 63323-0631-50 | Leucovorin Calcium |
| 63323-0710-50 | Leucovorin Calcium |
| 63323-0711-00 | Leucovorin Calcium |
| 67457-0528-10 | Leucovorin Calcium |
| 67457-0529-20 | Leucovorin Calcium |
| 67457-0530-35 | Leucovorin Calcium |
| 68001-0416-36 | Leucovorin Calcium |
| 68001-0417-37 | Leucovorin Calcium |