In short

J1451 is the HCPCS Level II code for injection, fomepizole, 15 mg. One billing unit is 15 mg.

Code

CMS HCPCS file
HCPCS codeJ1451
Billing unit15 mg
Descriptor
Injection, fomepizole, 15 mg
Short descriptor
Fomepizole, 15 mg
Code set
HCPCS Level II, maintained by CMS
Effective
Jan 1, 2006

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

Units and claim line

Units = dose given ÷ 15 mg. For example, 1500 mg is 100 units. Enter the dose to get the units and the NDC line for the CMS-1500 and the 837P.

Enter the dose given to build the claim line.

Find the NDC

Med-Code hasn’t mapped J1451 to specific products yet. Search the FDA NDC Directory for the drug named in the descriptor, and check the route and strength match the code.

Search NDCs for fomepizole

J1451: common questions

Is J1451 a CPT code?
No. J1451 is a HCPCS Level II code, maintained by CMS, that identifies the drug supplied. 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 is one billing unit of J1451?
One unit of J1451 is 15 mg, as stated in the code's descriptor. Units to report = dose given ÷ 15 mg. J-code billing units.

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