HCPCS code J1643 — Inj heparin, pfizer, 1000u.
Status: Active.
Effective Jan 1, 2024.
Source: CMS HCPCS Level II.
J1643
ActiveInj heparin, pfizer, 1000u
Injection, heparin sodium (pfizer), not therapeutically equivalent to j1644, per 1000 units
Category:
Drugs
Section:
J-codes: Drugs Administered Other Than Oral Method
Effective:
Jan 1, 2024
Code type:
alphanumeric
OPPS Status:
N
— Items / services packaged into APC rates
MUE — Medically Unlikely Edits
Maximum units of J1643 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 |
|---|---|
| Outpatient Hospital | 40 |
| Practitioner Services | 40 |
Source: CMS Medicare NCCI Medically Unlikely Edits
NDC Crosswalk
National Drug Codes (NDCs) mapped to this HCPCS code.
| NDC | Drug Name |
|---|---|
| 00069-0043-01 | Heparin Sodium (Porcine) |
| 00069-0058-01 | Heparin Sodium (Porcine) |
| 00069-0059-01 | Heparin Sodium (Porcine) |
| 00069-0059-03 | Heparin Sodium (Porcine) |
| 00069-0137-03 | Heparin Sodium (Porcine) |
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-Q1Inj heparin, pfizer, 1000u