HCPCS J0640
Injection, leucovorin calcium, per 50 mg
HCPCS Information
- HCPCS Code: J0640
- 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 J0640 identifies the type of service or supply used while any of the 44 NDC codes below could be used to specify the exact drug used.
- Short Description
- Leucovorin calcium injection
- Long Description
- Injection, leucovorin calcium, per 50 mg
- 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
- $3.95
- 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 | |
|---|---|---|---|---|---|---|---|
| 0143-9368 | Leucovorin Calcium | Leucovorin Calcium | Injection, Powder, Lyophilized, For Solution | Intramuscular; Intravenous | Hikma Pharmaceuticals Usa Inc. | ACTIVE | |
| 0143-9552 | Leucovorin Calcium | Leucovorin Calcium | Injection, Powder, Lyophilized, For Solution | Intramuscular; Intravenous | Hikma Pharmaceuticals Usa Inc. | ACTIVE | |
| 0143-9553 | Leucovorin Calcium | Leucovorin Calcium | Injection, Powder, Lyophilized, For Solution | Intramuscular; Intravenous | Hikma Pharmaceuticals Usa Inc. | ACTIVE | |
| 0143-9554 | Leucovorin Calcium | Leucovorin Calcium | Injection, Powder, Lyophilized, For Solution | Intramuscular; Intravenous | Hikma Pharmaceuticals Usa Inc. | ACTIVE | |
| 0143-9555 | Leucovorin Calcium | Leucovorin Calcium | Injection, Powder, Lyophilized, For Solution | Intramuscular; Intravenous | Hikma Pharmaceuticals Usa Inc. | ACTIVE | |
| 0703-5140 | Leucovorin Calcium | Teva Parenteral Medicines, Inc. | |||||
| 0703-5145 | Leucovorin Calcium | Teva Parenteral Medicines, Inc. | |||||
| 0703-5145 | Leucovorin Calcium | Teva Parenteral Medicines, Inc. | |||||
| 25021-813 | Leucovorin Calcium | Leucovorin Calcium | Injection, Powder, Lyophilized, For Solution | Intramuscular; Intravenous | Sagent Pharmaceuticals | ACTIVE | |
| 25021-813 | Leucovorin Calcium | Sagent Pharmaceuticals | |||||
| 25021-814 | Leucovorin Calcium | Leucovorin Calcium | Injection, Powder, Lyophilized, For Solution | Intramuscular; Intravenous | Sagent Pharmaceuticals | ACTIVE | |
| 25021-814 | Leucovorin Calcium | Sagent Pharmaceuticals | |||||
| 25021-815 | Leucovorin Calcium | Leucovorin Calcium | Injection, Powder, Lyophilized, For Solution | Intramuscular; Intravenous | Sagent Pharmaceuticals | ACTIVE | |
| 25021-815 | Leucovorin Calcium | Sagent Pharmaceuticals | |||||
| 25021-816 | Leucovorin Calcium | Leucovorin Calcium | Injection, Powder, Lyophilized, For Solution | Intramuscular; Intravenous | Sagent Pharmaceuticals | ACTIVE | |
| 25021-816 | Leucovorin Calcium | Sagent Pharmaceuticals | |||||
| 25021-828 | Leucovorin Calcium | Leucovorin Calcium | Injection, Powder, Lyophilized, For Solution | Intramuscular; Intravenous | Sagent Pharmaceuticals | ACTIVE | |
| 49452-4036 | Leucovorin Calcium | Powder | Spectrum Laboratory Products, Inc. | ACTIVE | |||
| 63323-631 | Leucovorin Calcium | Leucovorin Calcium | Injection | Intramuscular; Intravenous | Fresenius Kabi Usa, Llc | ACTIVE | |
| 63323-631 | Leucovorin Calcium | Leucovorin Calcium | Injection | Intramuscular; Intravenous | Fresenius Kabi Usa, Llc | ACTIVE | |
| 63323-710 | Leucovorin Calcium | Leucovorin Calcium | Injection, Powder, Lyophilized, For Solution | Intramuscular; Intravenous | Fresenius Kabi Usa, Llc | ACTIVE | |
| 63323-710 | Leucovorin Calcium | Leucovorin Calcium | Injection, Powder, Lyophilized, For Solution | Intramuscular; Intravenous | Fresenius Kabi Usa, Llc | ACTIVE | |
| 63323-711 | Leucovorin Calcium | Leucovorin Calcium | Injection, Powder, Lyophilized, For Solution | Intramuscular; Intravenous | Fresenius Kabi Usa, Llc | ACTIVE | |
| 67457-528 | Leucovorin Calcium | Leucovorin Calcium | Injection, Powder, Lyophilized, For Suspension | Intramuscular; Intravenous | Mylan Institutional Llc | ACTIVE | |
| 67457-529 | Leucovorin Calcium | Leucovorin Calcium | Injection, Powder, Lyophilized, For Suspension | Intramuscular; Intravenous | Mylan Institutional Llc | ACTIVE | |
| 67457-530 | Leucovorin Calcium | Leucovorin Calcium | Injection, Powder, Lyophilized, For Suspension | Intramuscular; Intravenous | Mylan Institutional Llc | ACTIVE | |
| 68001-285 | Leucovorin | Bluepoint Laboratories | |||||
| 68001-286 | Leucovorin | Bluepoint Laboratories | |||||
| 68001-416 | Leucovorin Calcium | Leucovorin Calcium | Injection, Powder, Lyophilized, For Solution | Intramuscular; Intravenous | Bluepoint Laboratories | ACTIVE | |
| 68001-417 | Leucovorin Calcium | Leucovorin Calcium | Injection, Powder, Lyophilized, For Solution | Intramuscular; Intravenous | Bluepoint Laboratories | ACTIVE | |
| 68001-418 | Leucovorin Calcium | Leucovorin Calcium | Injection, Powder, Lyophilized, For Solution | Intramuscular; Intravenous | Bluepoint Laboratories | ACTIVE | |
| 68001-648 | Leucovorin Calcium | Leucovorin Calcium | Injection, Powder, Lyophilized, For Solution | Intramuscular; Intravenous | Bluepoint Laboratories | ACTIVE | |
| 68001-649 | Leucovorin Calcium | Leucovorin Calcium | Injection, Powder, Lyophilized, For Solution | Intramuscular; Intravenous | Bluepoint Laboratories | ACTIVE | |
| 68001-650 | Leucovorin Calcium | Leucovorin Calcium | Injection, Powder, Lyophilized, For Solution | Intramuscular; Intravenous | Bluepoint Laboratories | ACTIVE | |
| 70436-116 | Leucovorin Calcium | Leucovorin Calcium | Injection, Powder, Lyophilized, For Solution | Intramuscular; Intravenous | Slate Run Pharmaceuticals, Llc | ACTIVE | |
| 70436-117 | Leucovorin Calcium | Leucovorin Calcium | Injection, Powder, Lyophilized, For Solution | Intramuscular; Intravenous | Slate Run Pharmaceuticals, Llc | ACTIVE | |
| 70436-118 | Leucovorin Calcium | Leucovorin Calcium | Injection, Powder, Lyophilized, For Solution | Intramuscular; Intravenous | Slate Run Pharmaceuticals, Llc | ACTIVE | |
| 70436-119 | Leucovorin Calcium | Leucovorin Calcium | Injection, Powder, Lyophilized, For Solution | Intramuscular; Intravenous | Slate Run Pharmaceuticals, Llc | ACTIVE | |
| 70436-120 | Leucovorin Calcium | Leucovorin Calcium | Injection, Powder, Lyophilized, For Solution | Intramuscular; Intravenous | Slate Run Pharmaceuticals, Llc | ACTIVE | |
| 71288-160 | Leucovorin Calcium | Leucovorin Calcium | Injection, Powder, Lyophilized, For Solution | Intramuscular; Intravenous | Meitheal Pharmaceuticals Inc. | ACTIVE | |
| 71288-161 | Leucovorin Calcium | Leucovorin Calcium | Injection, Powder, Lyophilized, For Solution | Intramuscular; Intravenous | Meitheal Pharmaceuticals Inc. | ACTIVE | |
| 71288-162 | Leucovorin Calcium | Leucovorin Calcium | Injection, Powder, Lyophilized, For Solution | Intramuscular; Intravenous | Meitheal Pharmaceuticals Inc. | ACTIVE | |
| 71288-163 | Leucovorin Calcium | Leucovorin Calcium | Injection, Powder, Lyophilized, For Solution | Intramuscular; Intravenous | Meitheal Pharmaceuticals Inc. | ACTIVE | |
| 71288-164 | Leucovorin Calcium | Leucovorin Calcium | Injection, Powder, Lyophilized, For Solution | Intramuscular; Intravenous | Meitheal Pharmaceuticals Inc. | ACTIVE |
