Home Drug Codes J Codes J1642 · Heparin
Updated July 1st, 2026

Heparin J Code: J1642

Injection, heparin sodium, (heparin lock flush), per 10 units

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Q4 2026 Medicare Payment Limit for J1642, effective October 1, 2026: $0.018 per HCPCS billing unit, unchanged from Q3 2026. From CMS's final file.

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Medicare Payment Limit ?
$0.018
/ HCPCS billing unit · Q3 2026
APC Payment Limit ?
Not published
CMS publishes none for Q3 2026
ASP ?
$•••.••
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WAC · AWP ?
$•••.••
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NDCs Crosswalked ?
14
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Drug & Product Overview

HCPCS Descriptor Injection, heparin sodium, (heparin lock flush), per 10 units
HCPCS Added Date January 1, 1995
Manufacturer Multiple Manufacturers
Route of Administration Intravenous
Generic Status Multi-Source; Generic

About Heparin

Heparin is a medication aligned to the HCPCS J Code: J1642 for billing, pricing, and reimbursement purposes in the United States. It is a Hematology drug administered via the intravenous route and manufactured by multiple companies.

According to CMS Drug Use Information: This medication is used to keep IV catheters open and flowing freely. Heparin helps to keep blood flowing smoothly and from clotting in the catheter by making a certain natural substance in your body (anti-clotting protein) work better. It is known as an anticoagulant. This form of heparin must not be used to treat or prevent blood clots in the body. Some products should not be used for newborns due to an increased risk of side effects. Check with your doctor or pharmacist for more details.

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 14 NDCs — log in for the full crosswalk.

NDC Code Drug Manufacturer Billing Units / Pkg Package Size
64253-0222-21 Heparin (Porcine) Lock Flush Medefil, Inc. 60 Heparin Na (Pork) Lock Flsh PF Intrave… Login for More
64253-0222-23 Heparin (Porcine) Lock Flush Medefil, Inc. 180 Heparin Na (Pork) Lock Flsh PF Intrave… Login for More
64253-0222-33 Heparin (Porcine) Lock Flush Medefil, Inc. 180 Heparin Na (Pork) Lock Flsh PF Intrave… Login for More
64253-0222-35 Heparin (Porcine) Lock Flush Medefil, Inc. 300 Heparin Na (Pork) Lock Flsh PF Intrave… Login for More
64253-0333-21 Heparin (Porcine) Lock Flush Medefil, Inc. 600 Heparin Na (Pork) Lock Flsh PF Intrave… Login for More
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Heparin Pricing & Reimbursement

J1642 Private Payer Reimbursement
$0.02 / HCPCS unit as of Jan 2026

National median reimbursement across major commercial payers.

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UnitedHealthcare, BlueCross BlueShield, Aetna, Cigna

Historical Graphing and Billing Calculator

per HCPCS unit
As of Q3 2026

Heparin Sodium 505(b)(2) Information:

HCPCS Code Manufacturer Active Ingredient HCPCS Description
J1642 Generic Code (Multiple Manufacturers) Heparin Sodium Injection, heparin sodium, (heparin lock flush), per 10 units
J1643 Pfizer Heparin Sodium Injection, heparin sodium (pfizer), not therapeutically equivalent to j1644, per 1000 units
J1644 Generic Code (Multiple Manufacturers) Heparin Sodium Injection, heparin sodium, per 1000 units

Heparin 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
96375 Therapeutic, prophylactic, or diagnostic injection (specify substance or drug); each additional sequential intravenous push of a new substance/drug.
Not on the CMS JW / JZ list

CMS does not include Heparin (J1642) on its list of HCPCS pertaining to single-dose containers. Per CMS guidelines, the JZ/JW wastage modifiers may not apply when billing J1642. Wastage billing guide →

Heparin Medically Unlikely Edits (MUE)

The most billing units of J1642 Medicare will pay for one patient in one day, as published by CMS. 1 unit = 10 units. The limit is different in the office and the hospital. Use the one for your setting.

Practitioner Office
100 units / day
= 1,000 units per day
Hospital Outpatient
150 units / day
= 1,500 units 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 →

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

Heparin 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.

Venous thrombosis Pulmonary embolism Atrial fibrillation with embolization Disseminated intravascular coagulation (acute & chronic consumptive coagulopathies) Peripheral arterial embolism

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Frequently Asked Questions

Is there an available Heparin billing and coding guide?
We have not yet identified a manufacturer source of Heparin billing and coding information.
Are there any available Heparin patient assistance programs?
Our team did not identify a source for Heparin patient assistance information. Please reach out to our team if you feel that this is a mistake.
Where can I find Heparin prescribing information?
Heparin 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 Heparin side effect information?
Our team has not yet identified a source of side effects information for Heparin. Please check back in a few weeks.
Does billing Heparin require JZ/JW wastage modifiers?
CMS does not include Heparin (J1642) on its list of HCPCS pertaining to single-dose containers. Per CMS guidelines, the JZ/JW wastage modifiers may not apply when billing J1642. For more information, visit the link below.

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