J1652

Code

J1652

Description

Injection, fondaparinux sodium, 0.5 mg

CMS HCPCS quarterly update

• 00781-3443-95 Fondaparinux Sodium, Sandoz Inc.. Billable units per 11-digit NDC: 50.
• 00781-3454-95 Fondaparinux Sodium, Sandoz Inc.. Billable units per 11-digit NDC: 100.
• 00781-3465-95 Fondaparinux Sodium, Sandoz Inc.. Billable units per 11-digit NDC: 150.
• 00781-3476-95 Fondaparinux Sodium, Sandoz Inc.. Billable units per 11-digit NDC: 200.
• 55111-0678-02 Fondaparinux Sodium, Dr. Reddy's Laboratories Inc.. Billable units per 11-digit NDC: 10.
• 55111-0678-10 Fondaparinux Sodium, Dr. Reddy's Laboratories Inc.. Billable units per 11-digit NDC: 50.
• 55111-0679-02 Fondaparinux Sodium, Dr. Reddy's Laboratories Inc.. Billable units per 11-digit NDC: 20.
• 55111-0679-10 Fondaparinux Sodium, Dr. Reddy's Laboratories Inc.. Billable units per 11-digit NDC: 100.
• 55111-0680-02 Fondaparinux Sodium, Dr. Reddy's Laboratories Inc.. Billable units per 11-digit NDC: 30.
• 55111-0680-10 Fondaparinux Sodium, Dr. Reddy's Laboratories Inc.. Billable units per 11-digit NDC: 150.
• 55111-0681-02 Fondaparinux Sodium, Dr. Reddy's Laboratories Inc.. Billable units per 11-digit NDC: 40.
• 55111-0681-10 Fondaparinux Sodium, Dr. Reddy's Laboratories Inc.. Billable units per 11-digit NDC: 200.
• 55150-0230-10 Fondaparinux Sodium, Eugia US LLC. Billable units per 11-digit NDC: 50.
• 55150-0231-10 Fondaparinux Sodium, Eugia US LLC. Billable units per 11-digit NDC: 100.
• 55150-0232-10 Fondaparinux Sodium, Eugia US LLC. Billable units per 11-digit NDC: 150.
• 55150-0233-10 Fondaparinux Sodium, Eugia US LLC. Billable units per 11-digit NDC: 200.
• 67457-0582-10 Fondaparinux Sodium, Mylan Institutional LLC. Billable units per 11-digit NDC: 50.
• 67457-0583-04 Fondaparinux Sodium, Mylan Institutional LLC. Billable units per 11-digit NDC: 100.
• 67457-0584-06 Fondaparinux Sodium, Mylan Institutional LLC. Billable units per 11-digit NDC: 150.
• 67457-0585-08 Fondaparinux Sodium, Mylan Institutional LLC. Billable units per 11-digit NDC: 200.
• 67457-0592-10 Arixtra, Mylan Institutional LLC. Billable units per 11-digit NDC: 50.
• 67457-0593-04 Arixtra, Mylan Institutional LLC. Billable units per 11-digit NDC: 100.
• 67457-0594-06 Arixtra, Mylan Institutional LLC. Billable units per 11-digit NDC: 150.
• 67457-0595-08 Arixtra, Mylan Institutional LLC. Billable units per 11-digit NDC: 200.
• 70710-1514-06 Fondaparinux Sodium, Zydus Pharmaceuticals (USA) Inc.. Billable units per 11-digit NDC: 50.
• 70710-1514-09 Fondaparinux Sodium, Zydus Pharmaceuticals (USA) Inc.. Billable units per 11-digit NDC: 10.
• 70710-1515-06 Fondaparinux Sodium, Zydus Pharmaceuticals (USA) Inc.. Billable units per 11-digit NDC: 100.

Source: CMS ASP NDC-HCPCS crosswalk, effective October 1, 2026 through December 31, 2026.