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    HCPCS Details

    HCPC J0640
    Short Description Leucovorin calcium injection
    Long Description Injection, leucovorin calcium, per 50 mg
    Pricing indicator 51
    Coverage code D
    ASC payment group code
    BETOS2 code O1E
    Action code N
    Type of service 1
    Effective date 1997-01-01
    Date Added 1982-01-01

    HCPCS/NDC Cross-Walk

    NDC HCPC Description Drug Name Labeler Name HCPCS Dosage PKG Size PKG QTY Bill Units Bill Units PKG
    00143936801 J0640 Leucovorin calcium injection Leucovorin Calcium HIKMA PHARMACEUTICALS USA INC. 50 MG 1 1 4 4
    00143955201 J0640 Leucovorin calcium injection Leucovorin Calcium HIKMA PHARMACEUTICALS USA INC. 50 MG 1 1 7 7
    00143955301 J0640 Leucovorin calcium injection Leucovorin Calcium HIKMA PHARMACEUTICALS USA INC. 50 MG 1 1 4 4
    00143955401 J0640 Leucovorin calcium injection Leucovorin Calcium HIKMA PHARMACEUTICALS USA INC. 50 MG 1 1 2 2
    00143955501 J0640 Leucovorin calcium injection Leucovorin Calcium HIKMA PHARMACEUTICALS USA INC. 50 MG 1 1 1 1
    00703514001 J0640 Leucovorin calcium injection Leucovorin Calcium SICOR PHARMACEUTICALS, INC. 50 MG 1 1 2 2
    00703514501 J0640 Leucovorin calcium injection Leucovorin Calcium SICOR PHARMACEUTICALS, INC. 50 MG 1 1 7 7
    00703514591 J0640 Leucovorin calcium injection Leucovorin Calcium SICOR PHARMACEUTICALS, INC. 50 MG 1 1 7 7
    25021081310 J0640 Leucovorin calcium injection Leucovorin Calcium SAGENT PHARMACEUTICALS INC 50 MG 1 10 1 10
    25021081430 J0640 Leucovorin calcium injection Leucovorin Calcium SAGENT PHARMACEUTICALS INC 50 MG 1 1 2 2
    25021081530 J0640 Leucovorin calcium injection Leucovorin Calcium SAGENT PHARMACEUTICALS INC 50 MG 1 1 4 4
    25021081630 J0640 Leucovorin calcium injection Leucovorin Calcium SAGENT PHARMACEUTICALS INC 50 MG 1 1 7 7
    25021081667 J0640 Leucovorin calcium injection Leucovorin Calcium SAGENT PHARMACEUTICALS INC 50 MG 1 1 7 7
    25021082850 J0640 Leucovorin calcium injection Leucovorin Calcium SAGENT PHARMACEUTICALS INC 50 MG 1 1 10 10
    63323063110 J0640 Leucovorin calcium injection LEUCOVORIN CALCIUM FRESENIUS KABI 50 MG 10 1 2 2
    63323063150 J0640 Leucovorin calcium injection Leucovorin Calcium FRESENIUS KABI 50 MG 50 1 10 10
    63323071050 J0640 Leucovorin calcium injection Leucovorin Calcium FRESENIUS KABI 50 MG 1 1 4 4
    63323071100 J0640 Leucovorin calcium injection Leucovorin Calcium FRESENIUS KABI 50 MG 1 1 10 10
    67457052810 J0640 Leucovorin calcium injection Leucovorin Calcium MYLAN INSTITUTIONAL LLC 50 MG 1 1 2 2
    67457052920 J0640 Leucovorin calcium injection Leucovorin Calcium MYLAN INSTITUTIONAL LLC 50 MG 1 1 4 4
    67457053035 J0640 Leucovorin calcium injection Leucovorin Calcium MYLAN INSTITUTIONAL LLC 50 MG 1 1 7 7
    68001028537 J0640 Leucovorin calcium injection Leucovorin Calcium AMERICAN HEALTH PACKAGING 50 MG 1 1 4 4
    68001041636 J0640 Leucovorin calcium injection Leucovorin Calcium AMERICAN HEALTH PACKAGING 50 MG 1 1 2 2
    68001041737 J0640 Leucovorin calcium injection Leucovorin Calcium AMERICAN HEALTH PACKAGING 50 MG 1 1 4 4
    68001041838 J0640 Leucovorin calcium injection Leucovorin Calcium AMERICAN HEALTH PACKAGING 50 MG 1 1 7 7
    71288016010 J0640 Leucovorin calcium injection LEUCOVORIN CALCIUM MEITHEAL PHARMACEUTICALS, INC. 50 MG 1 1 1 1
    71288016120 J0640 Leucovorin calcium injection LEUCOVORIN CALCIUM MEITHEAL PHARMACEUTICALS, INC. 50 MG 1 1 2 2
    71288016230 J0640 Leucovorin calcium injection LEUCOVORIN CALCIUM MEITHEAL PHARMACEUTICALS, INC. 50 MG 1 1 4 4
    71288016330 J0640 Leucovorin calcium injection LEUCOVORIN CALCIUM MEITHEAL PHARMACEUTICALS, INC. 50 MG 1 1 7 7
    71288016450 J0640 Leucovorin calcium injection LEUCOVORIN CALCIUM MEITHEAL PHARMACEUTICALS, INC. 50 MG 1 1 10 10
    The ASP crosswalks are maintained by the Division of Data Analysis and Market Based Pricing to support ASP-based Medicare Part B payments only. The crosswalks are intended to help the public (including entities that submit manufacturer ASP data and providers who bill for drugs) understand which drug products (identified by NDCs) are assigned to which HCPCS billing codes. The crosswalks are not intended to be a comprehensive list of all drugs/NDCs available in the United States. The NDC to HCPCS Crosswalk also includes information on the NDC package size and the number of billable units (as defined by the HCPCS code descriptor). Comments on the file may be sent to [email protected].

    HCPCS Billing Calculator

    Dosage given to patient (per dose)
    HCPCS Dosage 50 MG
    HCPCS/CPT Billing Units 0.02
    Total doses ordered
    Billing Units 0.02