HCPCS drug code · CMS crosswalk
Arixtra J-Code / HCPCS Code
In short
Arixtra is billed under HCPCS J1652 — Injection, fondaparinux sodium, 0.5 mg. One billing unit is 0.5 mg. CMS's crosswalk lists 4 Arixtra NDCs under this code.
Reference
- J1652
- Injection, fondaparinux sodium, 0.5 mgBilling unit: 0.5 mg
- Labelers
- Mylan Institutional LLC
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. A payment limit is not a coverage decision; the Medicare contractor decides coverage. CMS ASP pricing files
Arixtra 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.
Arixtra 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 |
|---|---|---|---|---|
| 67457-0592-10 | J1652 | Mylan Institutional LLC | 10 × 0.5 | 50 |
| 67457-0593-04 | J1652 | Mylan Institutional LLC | 10 × 0.4 | 100 |
| 67457-0594-06 | J1652 | Mylan Institutional LLC | 10 × 0.6 | 150 |
| 67457-0595-08 | J1652 | Mylan Institutional LLC | 10 × 0.8 | 200 |
Arixtra: common questions
- What is the J-code for Arixtra?
- Arixtra is billed under HCPCS J1652 — Injection, fondaparinux sodium, 0.5 mg. One billing unit is 0.5 mg. CMS's crosswalk lists 4 Arixtra NDCs under this code.
- How many J1652 billing units are in a package of Arixtra?
- CMS lists 50 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.