HCPCS Code Details - J1645

HCPCS Level II Code
Drugs administered other than oral method, chemotherapy drugs
HCPCS Code J1645
Description

Long description:
Injection, dalteparin sodium, per 2500 iu

Short description:
Dalteparin sodium

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
BETOS2 code O1E - Other drugs
HCPCS Action code N - No maintenance for this code
Type of service 1 - Medical care
Effective date Effective Jul 01, 2002
Date added Added Jan 01, 1997
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 - J1645

Effective Code Dosage Payment
Limit
Vaccine AWP % Vaccine Limit Infusion AWP % DME infusion limit Blood AWP % Blood limit Clotting factor Note
2500 IU 12.686 - - - - - -
Jul 1, 2022 - Sep 30, 2022 2500 IU 11.725 - - - - - -
April 1, 2022 - June 30, 2022 2500 IU 11.621 - - - - - -
January 1, 2022 - March 31, 2022 2500 IU 10.012 - - - - - -
October 1, 2021 - December 31, 2021 2500 IU 9.119 - - - - - -

See also


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”