In short

Fondaparinux Sodium is billed under HCPCS J1652 — Injection, fondaparinux sodium, 0.5 mg. One billing unit is 0.5 mg. CMS's crosswalk lists 23 Fondaparinux Sodium NDCs under this code.

J1652 code details

Reference

J1652
Injection, fondaparinux sodium, 0.5 mgBilling unit: 0.5 mg
Labelers
Dr. Reddy's Laboratories Inc.; Eugia US LLC; Mylan Institutional LLC; Sandoz Inc.; Zydus Pharmaceuticals (USA) Inc.

Medicare Part B payment limit

CMS ASP file
Payment limit per unit$0.798
Per0.5 mg
Coinsurance20%

Effective October 1, 2026 through December 31, 2026. Payment allowance limits subject to the ASP methodology are based on 2Q26 ASP data. A payment limit is not a coverage decision; the Medicare contractor decides coverage. CMS ASP pricing files

Fondaparinux Sodium units and claim line

Enter the dose given to get the J1652 units and the NDC line for the CMS-1500 and the 837P.

Enter the dose given to build the claim line.

Fondaparinux Sodium NDCs and billing units

From CMS’s ASP NDC–HCPCS crosswalk, effective October 1, 2026 through December 31, 2026. Billing units per package are CMS’s figures for the code’s unit.

Fondaparinux Sodium NDCs in the CMS ASP crosswalk
NDC (11-digit)HCPCSLabelerPackageBilling units per package
00781-3443-95J1652Sandoz Inc.10 × 0.550
00781-3454-95J1652Sandoz Inc.10 × 0.4100
00781-3465-95J1652Sandoz Inc.10 × 0.6150
00781-3476-95J1652Sandoz Inc.10 × 0.8200
55111-0678-02J1652Dr. Reddy's Laboratories Inc.2 × 0.510
55111-0678-10J1652Dr. Reddy's Laboratories Inc.10 × 0.550
55111-0679-02J1652Dr. Reddy's Laboratories Inc.2 × 0.420
55111-0679-10J1652Dr. Reddy's Laboratories Inc.10 × 0.4100
55111-0680-02J1652Dr. Reddy's Laboratories Inc.2 × 0.630
55111-0680-10J1652Dr. Reddy's Laboratories Inc.10 × 0.6150
55111-0681-02J1652Dr. Reddy's Laboratories Inc.2 × 0.840
55111-0681-10J1652Dr. Reddy's Laboratories Inc.10 × 0.8200
55150-0230-10J1652Eugia US LLC10 × 0.550
55150-0231-10J1652Eugia US LLC10 × 0.4100
55150-0232-10J1652Eugia US LLC10 × 0.6150
55150-0233-10J1652Eugia US LLC10 × 0.8200
67457-0582-10J1652Mylan Institutional LLC10 × 0.550
67457-0583-04J1652Mylan Institutional LLC10 × 0.4100
67457-0584-06J1652Mylan Institutional LLC10 × 0.6150
67457-0585-08J1652Mylan Institutional LLC10 × 0.8200
70710-1514-06J1652Zydus Pharmaceuticals (USA) Inc.10 × 0.550
70710-1514-09J1652Zydus Pharmaceuticals (USA) Inc.2 × 0.510
70710-1515-06J1652Zydus Pharmaceuticals (USA) Inc.10 × 0.4100

Fondaparinux Sodium: common questions

What is the J-code for Fondaparinux Sodium?
Fondaparinux Sodium is billed under HCPCS J1652 — Injection, fondaparinux sodium, 0.5 mg. One billing unit is 0.5 mg. CMS's crosswalk lists 23 Fondaparinux Sodium NDCs under this code.
How many J1652 billing units are in a package of Fondaparinux Sodium?
CMS lists 10 to 200 billing units per package, depending on the NDC, where one unit is 0.5 mg. Units to report are based on the dose given, not the package.
Is J1652 a CPT code?
No. J1652 is a HCPCS Level II code from CMS for the drug itself. Giving it, for example by injection or infusion, is usually reported with a separate CPT administration code.

Related

Free account

Keep searching with a free account

You’ve used your 3 free searches for this session. Log in or create a free Med-Code account to keep looking up NDCs, J-codes and drugs.

Create a free accountLog in