HCPCS code J0650 — Inj, levothyroxine nos 10mcg.
Status: Active.
Effective Apr 1, 2024.
Source: CMS HCPCS Level II.
J0650
ActiveInj, levothyroxine nos 10mcg
Injection, levothyroxine sodium, not otherwise specified, 10 mcg
Category:
Drugs
Section:
J-codes: Drugs Administered Other Than Oral Method
Effective:
Apr 1, 2024
Code type:
alphanumeric
OPPS Status:
N
— Items / services packaged into APC rates
MUE — Medically Unlikely Edits
Maximum units of J0650 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 | 100 |
| Outpatient Hospital | 100 |
| Practitioner Services | 100 |
Source: CMS Medicare NCCI Medically Unlikely Edits
NDC Crosswalk
National Drug Codes (NDCs) mapped to this HCPCS code.
| NDC | Drug Name |
|---|---|
| 25021-0468-10 | Levothyroxine Sodium |
| 25021-0469-10 | Levothyroxine Sodium |
| 25021-0470-10 | Levothyroxine Sodium |
| 42023-0201-01 | Levothyroxine Sodium |
| 42023-0202-01 | Levothyroxine Sodium |
| 42023-0203-01 | Levothyroxine Sodium |
| 63323-0647-10 | Levothyroxine Sodium |
| 63323-0648-10 | Levothyroxine Sodium |
| 63323-0649-07 | Levothyroxine Sodium |
| 63323-0649-16 | Levothyroxine Sodium |
| 63323-0649-94 | Levothyroxine Sodium |
| 70710-1833-01 | Levothyroxine Sodium |
| 70710-1834-01 | Levothyroxine Sodium |
| 70710-1835-01 | Levothyroxine Sodium |
| 70860-0451-10 | Levothyroxine Sodium |
| 70860-0452-10 | Levothyroxine Sodium |
| 70860-0453-10 | Levothyroxine Sodium |
Change History
Quarterly changes published by CMS. Revisions may affect the code description, coverage, or rate — review each quarter's changes before submitting claims.
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New Code 2024-Q2Inj, levothyroxine nos 10mcg