Skip to main content

J0641 HCPCS Level II Code: Injection, levoleucovorin, not otherwise specified, 0.5 mg

Coding at a Glance

Drug products
4 NDC products

Medicare Coverage & Payment

  • CMS short descriptor: Inj levoleucovorin nos 0.5mg
  • Medicare coverage: Special coverage instructions apply (CMS coverage code D)
  • Payment category: Drugs (pricing indicator 51)
  • BETOS: O1E — Other drugs
  • Last CMS action effective: January 1, 2023

Source: CMS HCPCS Level II release. Coverage codes indicate how Medicare treats the code, not whether a specific claim will be paid; payer policy and documentation still govern.

Change history

  • January 1, 2009
    Added to the code set
    Injection, levoleucovorin, not otherwise specified, 0.5 mg

Drug products (NDC)

CMS ASP NDC-HCPCS Crosswalk · 2026 Q3

Medicare Part B payment limit (ASP + 6%): $0.05

70436-0209-80 — Levoleucovorin Calcium — Slate Run Pharmaceuticals (size 17.5 × qty 1 (0.5 MG per billing unit))

71288-0104-10 — Levoleucovorin Calcium — Meitheal Pharmaceuticals Inc. (size 1 × qty 1 (0.5 MG per billing unit))

71288-0105-18 — Levoleucovorin Calcium — Meitheal Pharmaceuticals Inc. (size 17.5 × qty 1 (0.5 MG per billing unit))

72266-0120-01 — Levoleucovorin Calcium — Fosun Pharma USA Inc. (size 17.5 × qty 1 (0.5 MG per billing unit))

From the CMS ASP NDC-HCPCS Crosswalk and Part B Payment Limit File. Payment limits apply per HCPCS billing code, not per package.

Contextual Map

Every relationship of J0641 in one view: hierarchy, official tabular instructions in both directions, clinical classification, risk adjustment, MS-DRG participation, index terms and change history — each edge carrying the CMS source it derives from.

Nearest codes (40)

Change history

  • January 1, 2009 — Added to the code set [Change history]

Nearest Codes in This Family

Official HCPCS Level II classifications closest to J0641 in its code family, with their registry titles.