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J1190 HCPCS Level II Code: Injection, dexrazoxane hydrochloride, per 250 mg

Coding at a Glance

Drug products
11 NDC products

Medicare Coverage & Payment

  • CMS short descriptor: Dexrazoxane hcl injection
  • 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, 1997

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, 1997
    Added to the code set
    Injection, dexrazoxane hydrochloride, per 250 mg

Drug products (NDC)

CMS ASP NDC-HCPCS Crosswalk · 2026 Q3

Medicare Part B payment limit (ASP + 6%): $41.44

00143-9247-01 Dexrazoxane — Hikma Pharmaceuticals USA Inc. (size 1 × qty 1 (250 MG per billing unit))

00143-9248-01 Dexrazoxane — Hikma Pharmaceuticals USA Inc. (size 1 × qty 1 (250 MG per billing unit))

55150-0434-01 Dexrazoxane — Eugia US LLC (size 1 × qty 1 (250 MG per billing unit))

55150-0434-02 Dexrazoxane — Eugia US LLC (size 1 × qty 1 (250 MG per billing unit))

55150-0437-01 Dexrazoxane — Eugia US LLC (size 1 × qty 1 (250 MG per billing unit))

72205-0247-01 Dexrazoxane — Novadoz Pharmaceuticals LLC (size 1 × qty 1 (250 MG per billing unit))

72205-0248-01 Dexrazoxane — Novadoz Pharmaceuticals LLC (size 1 × qty 1 (250 MG per billing unit))

72266-0101-01 Dexrazoxane — Fosun Pharma USA Inc. (size 1 × qty 1 (250 MG per billing unit))

72266-0235-01 Dexrazoxane — Fosun Pharma USA Inc. (size 1 × qty 1 (250 MG per billing unit))

72611-0716-01 Dexrazoxane — Almaject, Inc. (size 1 × qty 1 (250 MG per billing unit))

72611-0716-72 Dexrazoxane — Almaject, Inc. (size 1 × qty 1 (250 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 J1190 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 (13)

Change history

  • January 1, 1997 — Added to the code set [Change history]

Nearest Codes in This Family

Official HCPCS Level II classifications closest to J1190 in its code family, with their registry titles.