HCPCS code J0641 — Inj levoleucovorin nos 0.5mg. Status: Active. Effective Jan 1, 2023. Source: CMS HCPCS Level II.

J0641

Active

Inj levoleucovorin nos 0.5mg

Injection, levoleucovorin, not otherwise specified, 0.5 mg

Category: Drugs
Section: J-codes: Drugs Administered Other Than Oral Method
Effective: Jan 1, 2023
Code type: alphanumeric
OPPS Status: N — Items / services packaged into APC rates

MUE — Medically Unlikely Edits

Maximum units of J0641 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 1200
Practitioner Services 1200

Source: CMS Medicare NCCI Medically Unlikely Edits

NDC Crosswalk

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

NDC Drug Name
70436-0209-80 Levoleucovorin Calcium
71288-0104-10 Levoleucovorin Calcium
71288-0105-18 Levoleucovorin Calcium
72266-0120-01 Levoleucovorin Calcium

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 2023-Q1
    Inj levoleucovorin nos 0.5mg