HCPCS drug code · CMS crosswalk
Fragmin J-Code / HCPCS Code
In short
Fragmin is billed under HCPCS J1645 — Injection, dalteparin sodium, per 2500 iu. One billing unit is 2500 IU. CMS's crosswalk lists 9 Fragmin NDCs under this code.
Reference
- J1645
- Injection, dalteparin sodium, per 2500 iuBilling unit: 2500 IU
- Labelers
- Pfizer Inc
Medicare Part B payment limit
CMS ASP fileEffective October 1, 2026 through December 31, 2026. Payment allowance limits subject to the ASP methodology are based on 2Q26 ASP data. CMS note: Inflation-adjusted coinsurance. A payment limit is not a coverage decision; the Medicare contractor decides coverage. CMS ASP pricing files
Fragmin units and claim line
Enter the dose given to get the J1645 units and the NDC line for the CMS-1500 and the 837P.
Enter the units to build the claim line.
Fragmin 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.
| NDC (11-digit) | HCPCS | Labeler | Package | Billing units per package |
|---|---|---|---|---|
| 00069-0195-02 | J1645 | Pfizer Inc | 10 × 0.2 | 10 |
| 00069-0196-02 | J1645 | Pfizer Inc | 10 × 0.2 | 20 |
| 00069-0206-02 | J1645 | Pfizer Inc | 10 × 0.3 | 30 |
| 00069-0217-02 | J1645 | Pfizer Inc | 10 × 1 | 40 |
| 00069-0220-02 | J1645 | Pfizer Inc | 10 × 0.5 | 50 |
| 00069-0223-02 | J1645 | Pfizer Inc | 10 × 0.6 | 60 |
| 00069-0228-02 | J1645 | Pfizer Inc | 10 × 0.72 | 72 |
| 00069-0232-01 | J1645 | Pfizer Inc | 3.8 | 38 |
| 00069-0253-10 | J1645 | Pfizer Inc | 10 × 4 | 40 |
Fragmin: common questions
- What is the J-code for Fragmin?
- Fragmin is billed under HCPCS J1645 — Injection, dalteparin sodium, per 2500 iu. One billing unit is 2500 IU. CMS's crosswalk lists 9 Fragmin NDCs under this code.
- How many J1645 billing units are in a package of Fragmin?
- CMS lists 10 to 72 billing units per package, depending on the NDC, where one unit is 2500 IU. Units to report are based on the dose given, not the package.
- Is J1645 a CPT code?
- No. J1645 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.