HCPCS Code Details - J1643

HCPCS Level II Code
Drugs administered other than oral method, chemotherapy drugs
HCPCS Code J1643
Description

Long description:
Injection, heparin sodium (pfizer), not therapeutically equivalent to j1644, per 1000 units

Short description:
Inj heparin, pfizer, 1000u

HCPCS Modifier1
HCPCS Pricing indicator 51 - Drugs
Multiple pricing indicator A - Not applicable as HCPCS priced under one methodology
Coverage code D - Special coverage instructions apply
ASC payment group code Effective Jan 01, 2024 - This procedure is approved to be performed in an ambulatory surgical center.
BETOS2 code O1E - Other drugs
HCPCS Action code N - No maintenance for this code
Type of service 1 - Medical care
Effective date Effective Jan 01, 2024
Date added Added Jan 01, 2023
HCPCS Coding Procedures

HCPCS Modifiers

In HCPCS Level II, modifiers are composed of two alpha or alphanumeric characters.

Example: E0260-NU - Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress
NU” identifies the hospital bed as new equipment

ASP Drug pricing - J1643

Effective Code Dosage Payment
Limit
Vaccine AWP % Vaccine Limit Infusion AWP % DME infusion limit Blood AWP % Blood limit Clotting factor Note
October 1, 2024 - December 31, 2024 1000 UNITS 3.734 - - - - - -
Jul 1, 2024 - Sep 30, 2024 1000 UNITS 3.419 - - - - - -
April 1, 2024 - June 30, 2024 1000 UNITS 4.339 - - - - - -
January 1, 2024 - March 31, 2024 1000 UNITS 4.58 - - - - - -
October 1, 2023 - December 31, 2023 1000 UNITS 5.183 20% - - - - -

See also

  • HCPCS J1642 · Injection, heparin sodium, (heparin lock flush), per 10 units

  • HCPCS J1644 · Injection, heparin sodium, per 1000 units


1 Two-digit numeric codes are Level I code modifiers copyrighted© by the American Medical Association's Current Procedural Terminology (CPT).

2 BETOS stands for “Berenson-Eggers Type Of Service”