HALOPERIDOL LACTATE J Code: J1630
Injection, haloperidol, up to 5 mg
Drug & Product Overview
About HALOPERIDOL LACTATE
Haloperidol Lactate is a medication aligned to the HCPCS J Code: J1630 for billing, pricing, and reimbursement purposes in the United States. It is a Psychiatric drug administered via the intramuscular route and manufactured by multiple companies.
According to CMS Drug Use Information: Drug uses not available
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 8 NDCs — log in for the full crosswalk.
| NDC Code | Drug | Manufacturer | Billing Units / Pkg | Package Size |
|---|---|---|---|---|
| 00143-9501-25 | Haloperidol | Hikma Pharmaceuticals USA Inc. | 25 | 5 MG / 1 ML |
| 00143-9502-01 | Haloperidol | Hikma Pharmaceuticals USA Inc. | 10 | 50 MG / 10 ML |
| 25021-0806-01 | Haloperidol Lactate | Sagent Pharmaceuticals | 10 | 5 MG |
| 63323-0474-01 | Haloperidol | Fresenius Kabi USA, LLC | 25 | 5 MG / 1 ML |
| 67457-0426-12 | Haloperidol Lactate | Mylan Institutional LLC | 25 | 5 MG / 1 ML |
| •••••-••••-•• Log in to view | HALOPERIDOL LACTATE | •••••••••••• Log in to view | •••• Log in to view | ••• •• / • •• Log in to view |
| •••••-••••-•• Log in to view | HALOPERIDOL LACTATE | •••••••••••• Log in to view | •••• Log in to view | ••• •• / • •• Log in to view |
| •••••-••••-•• Log in to view | HALOPERIDOL LACTATE | •••••••••••• Log in to view | •••• Log in to view | ••• •• / • •• Log in to view |
HALOPERIDOL LACTATE Pricing & Reimbursement
National median reimbursement across major commercial payers.
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Login to use the calculator →HALOPERIDOL LACTATE 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 Haloperidol Lactate (J1630) on its list of HCPCS pertaining to single-dose containers. Per CMS guidelines, the JZ/JW wastage modifiers may not apply when billing J1630. Wastage billing guide →
HALOPERIDOL LACTATE Medically Unlikely Edits (MUE)
The most billing units of J1630 Medicare will pay for one patient in one day, as published by CMS. 1 unit = 5 mg. The limit is different in the office and the hospital. Use the one for your setting.
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 →
HALOPERIDOL LACTATE 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
Is there an available Haloperidol Lactate billing and coding guide?
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Does billing HALOPERIDOL LACTATE require JZ/JW wastage modifiers?
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