HCPCS J0153

Injection, adenosine, 1 mg (not to be used to report any adenosine phosphate compounds)

HCPCS Information
HCPCS Crossover to NDC Codes

HCPCS Information

HCPCS Code: J0153: The Healthcare Common Procedure Coding System (HCPCS) is a set of unique alphanumeric codes used to report medical procedures and services to healthcare programs like Medicare and Medicaid. HCPCS codes are used in conjunction with NDC codes for billing and medical documentation puporses. For instance, HCPCS J0153 identifies the type of service or supply used while any of the 33 NDC codes below could be used to specify the exact drug used.
Short Description: Adenosine inj 1mg
Long Description: Injection, adenosine, 1 mg (not to be used to report any adenosine phosphate compounds)
Pricing Indicator: Drugs
Multiple Pricing Indicator: Not applicable as HCPCS priced under one methodology
Coverage Description: Special coverage instructions apply
BETOS Type of Service: Other drugs
Medicare Payment Limit: $0.46
Medicare Co-Insurance Percentage: 20.000%
HCPCS Classification: List of HCPCS codes for: Drugs Administered Other Than Oral Method, Chemotherapy Drugs (J-codes)

HCPCS Crossover to NDC Codes

The NDC codes below allow precise billing based on the specific manufacturer and medication used:

NDC	Proprietary Name	Non-Proprietary Name	Dosage Form	Route Name	Company Name	Status
0404-9809	Adenosine				Henry Schein, Inc.
0404-9993	Adenosine	Adenosine Injection, Solution	Injection, Solution	Intravenous	Henry Schein, Inc.	ACTIVE
0469-8234	Adenocard				Astellas Pharma Us, Inc.
16714-180	Adenosine				Northstar Rxllc
16714-556	Adenosine	Adenosine	Injection, Solution	Intravenous	Northstar Rx Llc	ACTIVE
16714-972	Adenosine				Northstar Rxllc
16714-997	Adenosine	Adenosine	Injection, Solution	Intravenous	Northstar Rx Llc	ACTIVE
17478-953	Adenosine				Akorn	INACTIVATED
23155-258	Adenosine	Adenosine	Injection, Solution	Intravenous	Heritage Pharmaceuticals Inc. D/b/a Avet Pharmaceuticals Inc.	ACTIVE
25021-301	Adenosine	Adenosine	Injection	Intravenous	Sagent Pharmaceuticals	ACTIVE
25021-301	Adenosine				Sagent Pharmaceuticals
25021-301	Adenosine				Sagent Pharmaceuticals, Inc
25021-318	Adenosine	Adenosine	Injection	Intravenous	Sagent Pharmaceuticals	ACTIVE
51662-1450	Adenosine	Adenosine	Injection, Solution	Intravenous	Hf Acquisition Co Llc, Dba Healthfirst	ACTIVE
51662-1511	Adenosine	Adenosine	Injection	Intravenous	Hf Acquisition Co Llc, Dba Healthfirst	ACTIVE
51662-1632	Adenosine	Adenosine	Injection, Solution	Intravenous	Hf Acquisition Co Llc, Dba Healthfirst	ACTIVE
51662-1643	Adenosine	Adenosine	Injection, Solution	Intravenous	Hf Acquisition Co Llc, Dba Healthfirst	ACTIVE
54868-5551	Adenosine				Physicians Total Care, Inc.	INACTIVATED
55150-192	Adenosine	Adenosine	Injection, Solution	Intravenous	Eugia Us Llc	ACTIVE
55150-193	Adenosine	Adenosine	Injection, Solution	Intravenous	Eugia Us Llc	ACTIVE
55390-067	Adenosine				Bedford Laboratories
63323-651	Adenosine	Adenosine	Injection, Solution	Intravenous	Fresenius Kabi Usa, Llc	ACTIVE
63323-651	Adenosine	Adenosine	Injection, Solution	Intravenous	Fresenius Kabi Usa, Llc	ACTIVE
63323-651	Adenosine	Adenosine	Injection, Solution	Intravenous	Fresenius Kabi Usa, Llc	ACTIVE
67457-854	Adenosine	Adenosine	Injection	Intravenous	Mylan Institutional Llc	ACTIVE
67457-855	Adenosine	Adenosine	Injection	Intravenous	Mylan Institutional Llc	ACTIVE
67457-856	Adenosine	Adenosine	Injection, Solution	Intravenous	Mylan Institutional Llc	ACTIVE
67457-857	Adenosine	Adenosine	Injection, Solution	Intravenous	Mylan Institutional Llc	ACTIVE
67457-858	Adenosine				Mylan Institutional Llc
67457-859	Adenosine				Mylan Institutional Llc
71288-207	Adenosine	Adenosine	Injection, Solution	Intravenous	Meitheal Pharmaceuticals Inc.	ACTIVE
71288-208	Adenosine	Adenosine	Injection, Solution	Intravenous	Meitheal Pharmaceuticals Inc.	ACTIVE
72078-033	Adenosine	Adenosine	Injection	Intravenous	Mylan Institutional Llc	ACTIVE

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HCPCS Information

HCPCS Crossover to NDC Codes