HCPCS J7042

5% dextrose/normal saline (500 ml = 1 unit)

HCPCS Code: J7042: 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 J7042 identifies the type of service or supply used while any of the 7 NDC codes below could be used to specify the exact drug used.
Short Description: 5% dextrose/normal saline
Long Description: 5% dextrose/normal saline (500 ml = 1 unit)
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: $1.36
Medicare Co-Insurance Percentage: 20.000%
HCPCS Classification: List of HCPCS codes for: Drugs Administered Other Than Oral Method, Chemotherapy Drugs (J-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
0264-7610	Dextrose And Sodium Chloride	Dextrose And Sodium Chloride	Injection, Solution	Intravenous	B. Braun Medical Inc.	ACTIVE
0338-0089	Dextrose And Sodium Chloride	Dextrose And Sodium Chloride	Injection, Solution	Intravenous	Baxter Healthcare Company	ACTIVE
0338-9799	Glucose And Sodium Chloride	Dextrose Anhydrous And Sodium Chloride	Injection, Solution	Intravenous	Baxter Healthcare Corporation	ACTIVE
0409-7941	Dextrose And Sodium Chloride				Hospira, Inc.
0409-7941	Dextrose And Sodium Chloride				Hospira, Inc.
0990-7941	Dextrose And Sodium Chloride	Dextrose Monohydrate And Sodium Chloride	Injection, Solution	Intravenous	Icu Medical Inc.	ACTIVE
63323-870	Dextrose And Sodium Chloride	Dextrose Monohydrate And Sodium Chloride	Injection, Solution	Intravenous	Fresenius Kabi Usa, Llc	ACTIVE