J1650 HCPCS code: Injection, enoxaparin sodium, 10 mg
J1650 is the HCPCS Level II code for injection, enoxaparin sodium, 10 mg. In 2024 Medicare paid an average of $0.45 per service for J1650 across 15,448 services. Its Medicare coverage code is C (Carrier judgment): Coverage is decided by the Medicare contractor (MAC) case by case. The NCCI unit limit is 30 per day on outpatient hospital claims. Medicare volume fell 36% from 2022 to 2024 (24,038 to 15,448 services). In 2024, about 501 clinicians billed Medicare for J1650 for 720 beneficiaries; Kentucky, California, Georgia accounted for 50% of services.
Code details
| Field | Value |
|---|---|
| Section | J codes — Drugs administered other than oral method |
| Coverage code | C — Carrier judgment |
| Pricing indicator | 51 — Drug or biological (priced per ASP/average sales price rules) |
| BETOS category | O1E — Other drugs |
| Added | 1996-01-01 |
| Last action effective | 2004-01-01 |
Who bills J1650 (2024)
| Measure | Value |
|---|---|
| Clinicians billing (by place of service) | 501 |
| Medicare beneficiaries | 720 |
| States with claims | 20 |
| Share of services in top 3 states (Kentucky, California, Georgia) | 50% |
Counts only. Supplier and clinician names, contact lists and state-by-state detail are in Caduvo.
Medicare utilization for J1650, 2022–2024
| Year | Services | Beneficiaries | Avg. allowed | Avg. paid |
|---|---|---|---|---|
| 2022 | 24,038 | 983 | $0.78 | $0.60 |
| 2023 | 18,110 | 822 | $0.71 | $0.56 |
| 2024 | 15,448 | 720 | $0.59 | $0.45 |
States with the most J1650 services (2024)
| State | Services | Avg. paid |
|---|---|---|
| Kentucky | 4,613 | $0.46 |
| California | 1,256 | $0.47 |
| Georgia | 1,060 | $0.48 |
| New York | 1,008 | $0.46 |
| Virginia | 1,005 | $0.43 |
NCCI unit limits (MUE)
| Claim type | Max units per day | Rationale |
|---|---|---|
| outpatient hospital claims | 30 | Prescribing Information |
| practitioner claims | 30 | Prescribing Information |
What changed for J1650
- 1996-01-01: J1650 added to HCPCS Level II
- Next scheduled CMS quarterly update (HCPCS and DMEPOS fee schedule): 2027-01-01
Frequently asked questions
What is HCPCS code J1650?
J1650 is the HCPCS Level II code for injection, enoxaparin sodium, 10 mg. Short descriptor: "Inj enoxaparin sodium".
How much does Medicare pay for J1650?
In 2024, the average Medicare payment was $0.45 per service (average allowed $0.59).
Does Medicare cover J1650?
Coverage code C — Carrier judgment. Coverage is decided by the Medicare contractor (MAC) case by case.
How many units of J1650 can be billed per day?
30 on outpatient hospital claims; 30 on practitioner claims (NCCI medically unlikely edits).
Related J16 codes
- J1600 — Injection, gold sodium thiomalate, up to 50 mg
- J1602 — Injection, golimumab, 1 mg, for intravenous use
- J1610 — Injection, glucagon hydrochloride, per 1 mg
- J1611 — Injection, glucagon hydrochloride (fresenius kabi), not therapeutically equivalent to j1610, per 1 mg
- J1612 — Injection, glucagon (gvoke), 0.01 mg
- J1620 — Injection, gonadorelin hydrochloride, per 100 mcg
- J1626 — Injection, granisetron hydrochloride, 100 mcg
- J1627 — Injection, granisetron, extended-release, 0.1 mg
- J1628 — Injection, guselkumab, 1 mg
- J1630 — Injection, haloperidol, up to 5 mg
- J1631 — Injection, haloperidol decanoate, per 50 mg
- J1632 — Injection, brexanolone, 1 mg
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Next steps
- Run a reimbursement report for a device billed under J1650
- Watch J1650 for fee, coverage and descriptor changes
- Build a full Medicare revenue model for J1650
Sources: CMS HCPCS Level II release October 2025; CMS DMEPOS fee schedule; CMS NCCI MUE tables; CMS Medicare utilization (physician and DME supplier files); CMS Medicare Coverage Database articles. Fees are Medicare allowables, not commercial rates. Not billing or legal advice.