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See a sample rate comparisonHCPCS J1642 (Heparin) Fee Schedule
Last Verified: October 2026
Healthcare providers use this code to document and receive reimbursement for visits that address moderate-level medical decision-making, often including multiple diagnoses or prescription management.
Injection, heparin sodium, (heparin lock flush), per 10 units
| Key Fact | Detail |
|---|---|
| Service Type | Drugs Administered Other than Oral Method Drugs, Administered by Injection |
| Common Place of Service | None 11 - Office |
| Complexity Level | Low |
| Medicaid Fee Schedule | View Medicaid rates for J1642 |
| Medicare Payment Limit | $0.017  |
| WAC Price | Lorem ipsum dolor sit amet consectetur Lorem ipsum dolor sit amet consectetur VisitBuyandBill.com |
| Related NDC Codes | • 00409-1280-31 - HEPARIN LOCK FLUSH (LUER LOCK,LATEX-FREE) 10 U/ML • 00409-1280-32 - HEPARIN LOCK FLUSH (LUER LOCK,LATEX-FREE) 10 U/ML • 00409-1280-33 - HEPARIN LOCK FLUSH (LUER LOCK,LATEX-FREE) 10 U/ML • 00409-1280-35 - HEPARIN LOCK FLUSH (LUER LOCK,LATEX-FREE) 10 U/ML • 00409-1281-31 - HEPARIN LOCK FLUSH (LUER LOCK,50X1ML) 100 U/ML |
National average reimbursement for HCPCS J1642 by major payers:
$0.05
$0.06
$0.05
$0.05
Compare published rates across providers.
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HCPCS J1642
5 of 25 sample ratesHigher to lower in this preview
Sunit Jariwala
Montefiore Medical Center
$0.05Published rateMuhammad Bashir
Trinity Health Mid-Atlantic Medical Group F-K-A Langhorne Physician Se
$0.01Published rateUzma Chatha
Access Medicine Nj
$0.01Published rateSolomon Owusu
Neighborhood Clinic, LLC
$0.01Published rateNorman Penera
Valley Physician Servcies Inc
$0.01Published rate
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See a sample payer proposalHCPCS J1642 vs. Other Drugs, Administered by Injection Codes
The HCPCS J1642 code is part of the Drugs Administered Other than Oral Method services used for Drugs, Administered by Injection. It represents a moderate-complexity encounter and is one of several codes that vary based on time spent, level of medical decision-making, and documentation requirements.
The HCPCS J1642 code involves more provider time and moderate medical decision-making, unlike lower-level codes that require less time and simpler assessments. It typically includes multiple diagnoses, medication management, or test interpretation, leading to higher reimbursement and more detailed documentation requirements.
| Code | Complexity | Description |
|---|---|---|
| 00409-1280-31-NDC | Moderate | HEPARIN LOCK FLUSH (LUER LOCK,LATEX-FREE) 10 U/ML |
| 00409-1280-32-NDC | Moderate | HEPARIN LOCK FLUSH (LUER LOCK,LATEX-FREE) 10 U/ML |
| 00409-1280-33-NDC | Moderate | HEPARIN LOCK FLUSH (LUER LOCK,LATEX-FREE) 10 U/ML |
| J1642-HCPCS | Low | Injection, heparin sodium, (heparin lock flush), per 10 units |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including HCPCS J1642. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the J1642 fee schedule helps patients estimate costs and providers optimize billing for accurate reimbursements.
Factors that affect fee schedules
Medicare & Medicaid Rates
Government-set reimbursement amounts
Private Insurance Rates
Negotiated rates between providers and insurance companies
Geographic Location
Costs may be higher in urban areas.
Provider Type
Hospital providers may have different rates than private practice.
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