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2-[[(2-Propenylamino)carbonyl]amino]-N-(2,6-dimethylphenyl)-6-benzothiazolecarboxamide

Here are examples of what you need: - The full name of the patient - The full names and credentials of the healthcare professionals handling the patient - The name, address, and type of facility where this injection was used - Signed provider order for use - Drug information (e.g., drug name, exact dose, route of administration, lot number, manufacturer, expiration date) - Clinical indication: line flush to maintain catheter patency - Documentation of the process of cleaning the IV line (e.g., cleaning the injection site/catheter port with antiseptic, drawing the heparin sodium into the syringe, injecting the solution into the catheter port slowly, disposing the syringe, etc.) ## **HCPCS code J1642 billing requirements** Besides the documentation requirements above, please make sure to take note of or have the following: - Every 10 units of the injection = 1 unit of service - Some payers (including Medicare) do not separately reimburse heparin flushes in many outpatient settings

W.SerefogluE

SLN and NLC for Topical, Dermal, and Transdermal Drug Delivery