ENOXAPARIN SODIUM J Code: J1650
Injection, enoxaparin sodium, 10 mg
Q4 2026 Medicare Payment Limit for J1650, effective October 1, 2026: $0.497 per HCPCS billing unit, down 7.3% from $0.536. From CMS's final file.
Drug & Product Overview
About ENOXAPARIN SODIUM
Enoxaparin Sodium is a medication aligned to the HCPCS J Code: J1650 for billing, pricing, and reimbursement purposes in the United States. This Hematology medication is administered via the intravenous or subcutaneous routes and manufactured by multiple companies.
According to CMS Drug Use Information: Enoxaparin is used to prevent and treat harmful blood clots. This helps to reduce the risk of a stroke or heart attack. This medication helps keep your blood flowing smoothly by lowering the activity of clotting proteins in the blood. Enoxaparin is an anticoagulant, also known as a "blood thinner." It is a type of heparin. Conditions which increase your risk of developing blood clots include certain types of surgeries (such as knee/hip replacement, abdominal), long periods of being immobile, certain types of heart attack, and a specific type of chest pain called unstable angina. For some medical conditions, enoxaparin may be used in combination with other "blood thinners."
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 174 NDCs — log in for the full crosswalk.
| NDC Code | Drug | Manufacturer | Billing Units / Pkg | Package Size |
|---|---|---|---|---|
| 00075-0620-40 | Lovenox | Sanofi-Aventis U.S. LLC | 40 | 40 MG / 0.4 ML |
| 00548-5601-00 | Enoxaparin Sodium | Amphastar Pharmaceuticals, Inc. | 30 | 30 MG / 0.3 ML |
| 00781-3238-63 | Enoxaparin Sodium | Sandoz Inc | 30 | 30 MG / 0.3 ML |
| 16714-0006-10 | Enoxaparin Sodium | NorthStar Rx LLC | 30 | 30 MG / 0.3 ML |
| 25021-0410-70 | Enoxaparin Sodium | Sagent Pharmaceuticals | 30 | 30 MG / 0.3 ML |
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ENOXAPARIN SODIUM Pricing & Reimbursement
National median reimbursement across major commercial payers.
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Login to use the calculator →ENOXAPARIN SODIUM 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 does not include Enoxaparin Sodium (J1650) on its list of HCPCS pertaining to single-dose containers. Per CMS guidelines, the JZ/JW wastage modifiers may not apply when billing J1650. Wastage billing guide →
ENOXAPARIN SODIUM Medically Unlikely Edits (MUE)
The most billing units of J1650 Medicare will pay for one patient in one day, as published by CMS. 1 unit = 10 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 →
ENOXAPARIN SODIUM 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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