HCPCS drug code · CMS crosswalk
Levoleucovorin Calcium J-Code / HCPCS Code
In short
Levoleucovorin Calcium is billed under HCPCS J0641 — Injection, levoleucovorin, not otherwise specified, 0.5 mg. One billing unit is 0.5 mg. CMS's crosswalk lists 4 Levoleucovorin Calcium NDCs under this code.
Reference
- J0641
- Injection, levoleucovorin, not otherwise specified, 0.5 mgBilling unit: 0.5 mg
- Labelers
- Fosun Pharma USA Inc.; Meitheal Pharmaceuticals Inc.; Slate Run Pharmaceuticals
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
Levoleucovorin Calcium units and claim line
Enter the dose given to get the J0641 units and the NDC line for the CMS-1500 and the 837P.
Enter the dose given to build the claim line.
Levoleucovorin Calcium 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 |
|---|---|---|---|---|
| 70436-0209-80 | J0641 | Slate Run Pharmaceuticals | 17.5 | 350 |
| 71288-0104-10 | J0641 | Meitheal Pharmaceuticals Inc. | 1 | 100 |
| 71288-0105-18 | J0641 | Meitheal Pharmaceuticals Inc. | 17.5 | 350 |
| 72266-0120-01 | J0641 | Fosun Pharma USA Inc. | 17.5 | 350 |
Levoleucovorin Calcium: common questions
- What is the J-code for Levoleucovorin Calcium?
- Levoleucovorin Calcium is billed under HCPCS J0641 — Injection, levoleucovorin, not otherwise specified, 0.5 mg. One billing unit is 0.5 mg. CMS's crosswalk lists 4 Levoleucovorin Calcium NDCs under this code.
- How many J0641 billing units are in a package of Levoleucovorin Calcium?
- CMS lists 100 to 350 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 J0641 a CPT code?
- No. J0641 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.