Heparin J Code: J1642
Injection, heparin sodium, (heparin lock flush), per 10 units
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.
Drug & Product Overview
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 |
| •••••-••••-•• Log in to view | Heparin | •••••••••••• Log in to view | •••• Log in to view | ••• •• / • •• Log in to view |
| •••••-••••-•• Log in to view | Heparin | •••••••••••• Log in to view | •••• Log in to view | ••• •• / • •• Log in to view |
| •••••-••••-•• Log in to view | Heparin | •••••••••••• Log in to view | •••• Log in to view | ••• •• / • •• Log in to view |
Heparin Pricing & Reimbursement
National median reimbursement across major commercial payers.
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Login to use the calculator →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. |
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.
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 →
Heparin 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 Heparin billing and coding guide?
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Does billing Heparin require JZ/JW wastage modifiers?
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