HCPCS J3430

Injection, phytonadione (vitamin k), per 1 mg

HCPCS Information

HCPCS Code: J3430
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 J3430 identifies the type of service or supply used while any of the 11 NDC codes below could be used to specify the exact drug used.
Short Description
Vitamin k phytonadione inj
Long Description
Injection, phytonadione (vitamin k), per 1 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
$2.84
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
0404-9935Phytonadione PhytonadioneInjection, EmulsionParenteralHenry Schein, Inc.ACTIVE
0404-9969Phytonadione PhytonadioneInjection, EmulsionIntramuscular; Intravenous; SubcutaneousHenry Schein, Inc.ACTIVE
0409-9157Vitamin K1 PhytonadioneInjection, EmulsionIntramuscular; Intravenous; SubcutaneousHospira, Inc.ACTIVE
0409-9158Vitamin K1 PhytonadioneInjection, EmulsionIntramuscular; Intravenous; SubcutaneousHospira, Inc.ACTIVE
43598-405Phytonadione PHYTONADIONEPhytonadioneInjection, EmulsionIntramuscular; Intravenous; SubcutaneousDr.reddy's Laboratories IncACTIVE
51662-1536Vitamin K1 - Phytonadione Vitamin K1 - PhytonadioneInjection, EmulsionIntramuscular; Intravenous; SubcutaneousHf Acquisition Co Llc, Dba HealthfirstACTIVE
51662-1537Vitamin K1 Phytonadione Vitamin K1, PhytonadioneInjection, EmulsionIntramuscular; Intravenous; SubcutaneousHf Acquisition Co Llc, Dba HealthfirstACTIVE
68462-758Phytonadione PhytonadioneInjection, EmulsionIntramuscular; Intravenous; SubcutaneousGlenmark Pharmaceuticals IncACTIVE
69097-003Phytonadione PhytonadioneInjection, EmulsionIntramuscular; Intravenous; SubcutaneousCipla Usa Inc.ACTIVE
69097-708Phytonadione PhytonadioneInjection, EmulsionIntramuscular; Intravenous; SubcutaneousCipla Usa Inc.ACTIVE
69097-709Phytonadione PhytonadioneInjection, EmulsionIntramuscular; Intravenous; SubcutaneousCipla Usa Inc.ACTIVE