HCPCS J0641

Injection, levoleucovorin, not otherwise specified, 0.5 mg

HCPCS Information

HCPCS Code: J0641
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 J0641 identifies the type of service or supply used while any of the 14 NDC codes below could be used to specify the exact drug used.
Short Description
Inj levoleucovorin nos 0.5mg
Long Description
Injection, levoleucovorin, not otherwise specified, 0.5 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
$0.04
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
0143-9558Levoleucovorin LevoleucovorinInjection, Powder, Lyophilized, For SolutionIntravenousHikma Pharmaceuticals Usa Inc.ACTIVE
0591-4130Levoleucovorin Actavis Pharma, Inc.
16714-890Levoleucovorin Northstar Rxllc
16714-915Levoleucovorin Northstar Rxllc
45963-762Levoleucovorin Actavis Pharma, Inc.
50742-494Levoleucovorin Ingenus Pharmaceuticals, Llc
50742-495Levoleucovorin Ingenus Pharmaceuticals, Llc
70121-1099Levoleucovorin LevoleucovorinInjection, Powder, Lyophilized, For SolutionIntravenousAmneal Pharmaceuticals LlcACTIVE
70121-1572Levoleucovorin Calcium LevoleucovorinInjection, SolutionIntravenousAmneal Pharmaceuticals LlcACTIVE
70436-209Levoleucovorin Calcium Levoleucovorin InjectionInjection, SolutionIntravenousSlate Run PharmaceuticalsACTIVE
71288-104Levoleucovorin Levoleucovorin CalciumInjection, Powder, Lyophilized, For SolutionIntravenousMeitheal Pharmaceuticals IncACTIVE
71288-105Levoleucovorin Levoleucovorin CalciumInjection, SolutionIntravenousMeitheal Pharmaceuticals Inc.ACTIVE
72266-120Levoleucovorin Fosun Pharma Usa Inc.
72266-121Levoleucovorin Fosun Pharma Usa Inc.