Skip to main content

Activase

NDC 50242-044 · Genentech, Inc.

Generic nameAlteplase
Dosage formKIT
Marketing categoryBLA

Packages

50242-044-13 — 1 KIT in 1 CARTON (50242-044-13) * 50 mL in 1 VIAL, SINGLE-USE * 50 mL in 1 VIAL, SINGLE-USE

Billed under HCPCS

J2997 — Injection, alteplase recombinant, 1 mg Medicare Part B payment limit (ASP + 6%): $98.59

Related Codes

Poisoning, adverse-effect and underdosing codes for this drug

The ICD-10-CM Table of Drugs and Chemicals carries these diagnosis codes for this drug — a drug-name match derived from FDA's product name and the Table of Drugs and Chemicals, not a CMS-published pairing.

T45.611 — Poisoning by thrombolytic drug, accidental (unintentional), T45.612 — Poisoning by thrombolytic drug, intentional self-harm, T45.613 — Poisoning by thrombolytic drug, assault, T45.614 — Poisoning by thrombolytic drug, undetermined, T45.615 — Adverse effect of thrombolytic drugs, T45.616 — Underdosing of thrombolytic drugs