Home Drug Codes J Codes J1652 · ARIXTRA
Updated July 1st, 2026

ARIXTRA J Code: J1652

Injection, fondaparinux sodium, 0.5 mg

Login to unlock all benchmarks

Q4 2026 Medicare Payment Limit for J1652, effective October 1, 2026: $0.798 per HCPCS billing unit, down 13.7% from $0.925. From CMS's final file.

?
Medicare Payment Limit ?
$0.925
/ HCPCS billing unit · Q3 2026
APC Payment Limit ?
Not published
CMS publishes none for Q3 2026
ASP ?
$•••.••
Login to view
WAC · AWP ?
$•••.••
Login to view
NDCs Crosswalked ?
44
View NDC crosswalk →

Drug & Product Overview

HCPCS Descriptor Injection, fondaparinux sodium, 0.5 mg
HCPCS Added Date January 1, 2003
Manufacturer Multiple Manufacturers
Route of Administration Subcutaneous
Generic Status Multi-Source; Generic
Dosage Type Single-Dose
Dosage Form Injection | Injection, Solution | Not Available

About ARIXTRA

Arixtra is a medication aligned to the HCPCS J Code: J1652 for billing, pricing, and reimbursement purposes in the United States. Classified under Hematology, it is administered via the subcutaneous route and manufactured by multiple companies.

According to CMS Drug Use Information: Fondaparinux is used to treat serious blood clots in the legs and/or lungs. It is usually used with another "blood thinner" medication (warfarin). If untreated, blood clots can travel to the lungs, heart, or brain, causing serious (possibly fatal) breathing problems, heart attack, or stroke. This drug may also be used to prevent blood clots after certain surgeries with an increased risk of blood clots (such as hip fracture, abdominal, knee/hip replacement). Fondaparinux is known as a "blood thinner" (anticoagulant). It is a drug similar to heparin that works by blocking certain natural substances in the blood that cause clotting.

Disclaimer: This is a summary and does not contain all possible information about this product. For complete information about this product or your specific health needs, ask your healthcare professional.

NDC Code Information

Based on publicly available CMS files. Showing 5 of 44 NDCs — log in for the full crosswalk.

NDC Code Drug Manufacturer Billing Units / Pkg Package Size
00781-3443-95 Fondaparinux Sodium Sandoz Inc. 50 2.5 MG / 0.5 ML
55111-0678-02 Fondaparinux Sodium Dr. Reddy's Laboratories Limited 10 2.5 MG / 0.5 ML
55150-0230-10 Fondaparinux Sodium Eugia Us Llc 50 2.5 MG / 0.5 ML
67457-0582-10 Fondaparinux Sodium Mylan Institutional LLC 50 2.5 MG / 0.5 ML
70710-1514-06 fondaparinux sodium Zydus Pharmaceuticals (USA) Inc. 50 2.5 MG / 0.5 ML
•••••-••••-•• Log in to view ARIXTRA
ARIXTRA
ARIXTRA
Login to view 39 more NDC packages View pricing, complete NDC-to-HCPCS alignments, and package details.
Login →

ARIXTRA Pricing & Reimbursement

J1652 Private Payer Reimbursement
$0.91 / HCPCS unit as of Jan 2026

National median reimbursement across major commercial payers.

Create an account on PayerPrice for more information →
UnitedHealthcare, BlueCross BlueShield, Aetna, Cigna

Historical Graphing and Billing Calculator

per HCPCS unit
As of Q3 2026

ARIXTRA CPT Administration Codes

The below list of CPT codes is intended for informational purposes only and may not be exhaustive. CPT® codes and descriptions are copyright American Medical Association (AMA). All rights reserved.

CPT Code Description
96372 Therapeutic, prophylactic, or diagnostic injection (specify substance or drug); intramuscular
JW / JZ modifiers apply

CMS has identified Arixtra (J1652) as a HCPCS code with single-dose containers. Therefore, the JW/JZ wastage modifiers could be required for billing purposes. Wastage billing guide →

ARIXTRA Medically Unlikely Edits (MUE)

The most billing units of J1652 Medicare will pay for one patient in one day, as published by CMS. 1 unit = 0.5 mg.

Practitioner Office & Hospital Outpatient
20 units / day
= 10 mg per day

MAI 3 · Date of Service Edit: Clinical. Per-day limit based on clinical expectations; excess units are denied but may be appealed with documentation of medical necessity. See all MUE limits →

mg Enter a dose to see how many billing units it is and whether it is under the limit.

ARIXTRA Clinical Information

Indications and drug classification.

Treated Diseases & Conditions

This list of indications is not exhaustive and may be subject to errors. The information on BuyandBill.com is intended for informational purposes only and should not be used for medical advice.

Acute Deep Vein Thrombosis Acute Pulmonary Embolism Deep Vein Thrombosis Deep Vein Thrombosis Prophylaxis Venous Thromboembolism
Drug Class
Factor Xa Inhibitor [EPC]Factor Xa Inhibitors [MoA]

Login for BuyandBill.com Analytics

Unlock deeper insights with BuyandBill’s Comparative Report!

  • Compare ASP, WAC, and AWP across drugs.
  • Visualize Drug Price Movement Over Time
  • Tailor reports to drug class, manufacturer, or HCPCS Code.
  • Compare Biosimilar and 505(b)(2) products.

Frequently Asked Questions

Is there an available Arixtra billing and coding guide?
Our team has not identified a manufacturer-published source of billing and coding information for ARIXTRA.
Are there any available Arixtra patient assistance programs?
Our team has not identified a manufacturer-published source of patient assistance information for ARIXTRA.
Where can I find Arixtra prescribing information?
ARIXTRA prescribing information can be found at the link below. Please reach out to us if you believe this information to be innacurate or out of date. Visit Here →
Where can I find Arixtra side effect information?
Our team has not yet identified a source of side effects information for ARIXTRA. Please check back in a few weeks.
Does billing ARIXTRA require JZ/JW wastage modifiers?
CMS has identified ARIXTRA(J1652) as a HCPCS code with single-dose containers. Therefore, the JW/JZ wastage modifiers could be required for billing purposes. See CMS guidelines on use of the JZ and JW wastage modifiers below.

About BuyandBill.com:

The BuyandBill.com team is dedicated to delivering high-quality coding and billing information for office-administered drugs. We continuously research HCPCS-coded medications to expand our resources and ensure data accuracy. Manufacturers: click here to sponsor your medication, and we will ensure the most accurate and detailed information is displayed.