In short

J0643 is the HCPCS Level II code for injection, leucovorin calcium, not otherwise specified, 1 mg: drugs with no specific code of their own. It has no fixed drug or unit, so the claim carries the NDC of the drug given and its quantity.

Code

CMS HCPCS file
HCPCS codeJ0643
Billing unit1 mg
Descriptor
Injection, leucovorin calcium, not otherwise specified, 1 mg
Short descriptor
Inj leucovorin calcium 1 mg
Code set
HCPCS Level II, maintained by CMS
Effective
Oct 1, 2026

The billing unit is read from the descriptor. Confirm it against the CMS file before billing.

Medicare Part B payment limit

CMS ASP file
Payment limit per unit$0.054
Per1 mg
Coinsurance20%

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

Units and claim line

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

Enter the units to build the claim line.

NDCs billed under J0643

CMS’s ASP NDC–HCPCS crosswalk (effective October 1, 2026 through December 31, 2026) assigns 35 NDCs to J0643 for Leucovorin Calcium. Billing units per package are CMS’s figures for this code’s unit.

NDCs assigned to J0643 in the CMS ASP crosswalk
DrugNDC (11-digit)LabelerPackageBilling units per package
Leucovorin Calcium00143-9368-01Hikma Pharmaceuticals USA Inc.1200
Leucovorin Calcium00143-9552-01Hikma Pharmaceuticals USA Inc.1350
Leucovorin Calcium00143-9553-01Hikma Pharmaceuticals USA Inc.1200
Leucovorin Calcium00143-9554-01Hikma Pharmaceuticals USA Inc.1100
Leucovorin Calcium00143-9555-01Hikma Pharmaceuticals USA Inc.150
Leucovorin Calcium25021-0813-10Sagent Pharmaceuticals10 × 1500
Leucovorin Calcium25021-0814-30Sagent Pharmaceuticals1100
Leucovorin Calcium25021-0815-30Sagent Pharmaceuticals1200
Leucovorin Calcium25021-0816-30Sagent Pharmaceuticals1350
Leucovorin Calcium25021-0816-67Sagent Pharmaceuticals1350
Leucovorin Calcium25021-0828-50Sagent Pharmaceuticals1500
Leucovorin Calcium63323-0631-10FreseniUS Kabi USA, LLC10100
Leucovorin Calcium63323-0631-50FreseniUS Kabi USA, LLC50500
Leucovorin Calcium63323-0710-50FreseniUS Kabi USA, LLC1200
Leucovorin Calcium63323-0711-00FreseniUS Kabi USA, LLC1500
Leucovorin Calcium67457-0528-10Mylan Institutional LLC1100
Leucovorin Calcium67457-0529-20Mylan Institutional LLC1200
Leucovorin Calcium67457-0530-35Mylan Institutional LLC1350
Leucovorin Calcium68001-0416-36BluePoint Laboratories1100
Leucovorin Calcium68001-0417-37BluePoint Laboratories1200
Leucovorin Calcium68001-0418-38BluePoint Laboratories1350
Leucovorin Calcium68001-0648-36BluePoint Laboratories1100
Leucovorin Calcium68001-0649-37BluePoint Laboratories1200
Leucovorin Calcium68001-0650-38BluePoint Laboratories1350
Leucovorin Calcium68462-0767-35Glenmark Pharmaceuticals Inc., Usa1350
Leucovorin Calcium70436-0116-82Slate Run Pharmaceuticals10 × 1500
Leucovorin Calcium70436-0117-80Slate Run Pharmaceuticals1100
Leucovorin Calcium70436-0118-80Slate Run Pharmaceuticals1200
Leucovorin Calcium70436-0119-80Slate Run Pharmaceuticals1350
Leucovorin Calcium70436-0120-80Slate Run Pharmaceuticals1500
Leucovorin Calcium71288-0160-10Meitheal Pharmaceuticals Inc.150
Leucovorin Calcium71288-0161-20Meitheal Pharmaceuticals Inc.1100
Leucovorin Calcium71288-0162-30Meitheal Pharmaceuticals Inc.1200
Leucovorin Calcium71288-0163-30Meitheal Pharmaceuticals Inc.1350
Leucovorin Calcium71288-0164-50Meitheal Pharmaceuticals Inc.1500

J0643: common questions

Is J0643 a CPT code?
No. J0643 is a HCPCS Level II code, maintained by CMS, that identifies a drug with no specific code of its own. CPT codes are five-digit numbers from the AMA that describe services. Giving the drug, for example an injection or infusion, is usually reported with a separate CPT administration code. CPT codes for drug administration.
What NDC goes with J0643?
None is fixed. J0643 is used for drugs that have no specific HCPCS code, so the claim carries the NDC of the drug actually given and its quantity, and payers usually also ask for the drug name and dose. How to find a J-code.
What is the Medicare payment limit for J0643?
$0.054 per 1 mg, effective October 1, 2026 through December 31, 2026, from CMS's Part B drug payment limit file. Multiply by the units billed for the allowed amount before deductible and coinsurance. It is not a coverage decision.

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