HCPCS code J1642 — Inj heparin sodium per 10 u.
Status: Active.
Effective Jan 1, 1997.
Source: CMS HCPCS Level II.
J1642
ActiveInj heparin sodium per 10 u
Injection, heparin sodium, (heparin lock flush), per 10 units
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 J1642 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 | 150 |
| Practitioner Services | 100 |
Source: CMS Medicare NCCI Medically Unlikely Edits
NCCI Edits — Reverse Direction
J1642 cannot be billed together with the following column 1 codes without appropriate documentation.
| Column 1 Code | Modifier |
|---|---|
| C8931 | Modifier may bypass edit |
| C8932 | Modifier may bypass edit |
| C8933 | Modifier may bypass edit |
| C8934 | Modifier may bypass edit |
| C8935 | Modifier may bypass edit |
| C8936 | Modifier may bypass edit |
| C9797 | Modifier may bypass edit |
| G0341 | Modifier may bypass edit |
Source: CMS National Correct Coding Initiative (NCCI)
NDC Crosswalk
National Drug Codes (NDCs) mapped to this HCPCS code.
| NDC | Drug Name |
|---|---|
| 64253-0222-21 | Heparin (Porcine) Lock Flush |
| 64253-0222-23 | Heparin (Porcine) Lock Flush |
| 64253-0222-33 | Heparin (Porcine) Lock Flush |
| 64253-0222-35 | Heparin (Porcine) Lock Flush |
| 64253-0333-21 | Heparin (Porcine) Lock Flush |
| 64253-0333-23 | Heparin (Porcine) Lock Flush |
| 64253-0333-33 | Heparin (Porcine) Lock Flush |
| 64253-0333-35 | Heparin (Porcine) Lock Flush |
| 64253-0444-22 | Heparin (Porcine) Lock Flush |
| 64253-0444-25 | Heparin (Porcine) Lock Flush |