ARIXTRA J Code: J1652
Injection, fondaparinux sodium, 0.5 mg
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.
Drug & Product Overview
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 |
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ARIXTRA Pricing & Reimbursement
National median reimbursement across major commercial payers.
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Login to use the calculator →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 |
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.
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 →
ARIXTRA Clinical Information
Indications and drug classification.
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.
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Frequently Asked Questions
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Does billing ARIXTRA require JZ/JW wastage modifiers?
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