NDC - HCPCS Crosswalk

Effective October 1, 2018 through December 31, 2018

The crosswalk is intended to help understand which drug products -identified by NDCs- are assigned to which HCPCS billing codes. The crosswalk is not intended to be a comprehensive list of all NDCs available in the United States. The NDC to HCPCS Crosswalk also includes information on the NDC package size and the number of billable units.

NDC HCPCS Code Labeler Drug Name Dosage Package Size Package Quantity Billable Units Billable Units / Pkg
13533-636-0290371Grifols USA, LLC.Hep b ig im1 ML1111
13533-636-0390371Grifols USA, LLC.Hep b ig im1 ML0.510.50.5
13533-636-0590371Grifols USA, LLC.Hep b ig im1 ML5155
59730-4202-190371Biotest Pharmaceuticals CorporationHep b ig im1 ML1111
59730-4203-190371Biotest Pharmaceuticals CorporationHep b ig im1 ML5155
13533-318-0190375Grifols USA, LLC.Rabies ig im/sc150 IU1122
13533-318-0590375Grifols USA, LLC.Rabies ig im/sc150 IU511010
13533-618-0290375Grifols USA, LLC.Rabies ig im/sc150 IU2122
13533-618-1090375Grifols USA, LLC.Rabies ig im/sc150 IU1011010
49281-190-2090376sanofi pasteurRabies ig heat treated150 IU2122
0052-0602-0290585Organon USA, Inc.Bcg vaccine percut50 MG1111
0052-0603-0290585Organon USA, Inc.Bcg vaccine percut50 MG1111
0052-0602-0290586Organon USA, Inc.Bcg vaccine intravesical1 EACH1111
0052-0603-0290586Organon USA, Inc.Bcg vaccine intravesical1 EACH1111
0006-4096-0290632Merck Sharp & Dohme Corp.Hepa vaccine adult im1 ML110110
0006-4841-0090632Merck Sharp & Dohme Corp.Hepa vaccine adult im1 ML1111
0006-4841-4190632Merck Sharp & Dohme Corp.Hepa vaccine adult im1 ML110110
58160-826-1190632GlaxoSmithklineHepa vaccine adult im1 ML110110
58160-826-5290632GlaxoSmithklineHepa vaccine adult im1 ML110110
70461-018-0390653Seqirus IncIiv adjuvant vaccine im0.5 ml0.510110
33332-018-0190656Seqirus IncIIV3 VACC NO PRSV 0.5 ML IM0.5 ml0.510110
49281-403-6590662Sanofi PasteurIiv no prsv increased ag im0.5 ml0.510110
0005-1971-0290670Wyeth/Pfizer U.S.PCV13 Vaccine IM0.5 ML0.510110
0005-1971-0590670Wyeth/Pfizer U.S.PCV13 Vaccine IM0.5 ML0.5111
66019-305-1090672MedImmune, LLCLaiv4 vaccine intranasal0.2 ml0.2 ML10110
42874-017-1090673Protein SciencesRiv3 vaccine no preserv im0.5 ML0.510110
70461-318-0390674Seqirus IncCCIIV4 VAC NO PRSV 0.5 ML IM0.5 ml0.510110
49281-250-5190675sanofi pasteurRabies vaccine im1 ML1111
58160-964-1290675GlaxoSmithklineRabies vaccine im1 ML1111
63851-501-0290675GlaxoSmithklineRabies vaccine im1 ML1111
49281-718-1090682Sanofi PasteurRIV4 VACC RECOMBINANT DNA IM0.5 ml0.510110
49281-518-2590685Sanofi PasteurIIV4 VACC NO PRSV 0.25 ML IM0.25 ml0.2510110
19515-909-5290686GlaxoSmithKlineIIV4 VACC NO PRSV 0.5 ML IM0.5 ml0.510110
33332-318-0190686Seqirus IncIIV4 VACC NO PRSV 0.5 ML IM0.5 ml0.510110
49281-418-1090686Sanofi PasteurIIV4 VACC NO PRSV 0.5 ML IM0.5 ml0.510110
49281-418-5090686Sanofi PasteurIIV4 VACC NO PRSV 0.5 ML IM0.5 ml0.510110
58160-898-5290686GlaxoSmithKlineIIV4 VACC NO PRSV 0.5 ML IM0.5 ml0.510110
49281-629-1590687Sanofi PasteurIIV4 VACCINE SPLT 0.25 ML IM0.25 ml511020
19515-900-1190688GlaxoSmithKlineIIV4 VACCINE SPLT 0.5 ML IM0.5 ml511010
33332-418-1090688Seqirus IncIIV4 VACCINE SPLT 0.5 ML IM0.5 ml511010
49281-629-1590688Sanofi PasteurIIV4 VACCINE SPLT 0.5 ML IM0.5 ml511010
13533-131-0190714Grifols USA, LLC.Td vacc no presv 7 yrs+ im0.5 ML0.510110
49281-215-1090714sanofi pasteurTd vacc no presv 7 yrs+ im0.5 ML0.510110
49281-215-1590714sanofi pasteurTd vacc no presv 7 yrs+ im0.5 ML0.510110
49281-400-1090715sanofi pasteurTdap vaccine 7 yrs/> im0.5 ML0.510110
49281-400-1590715sanofi pasteurTdap vaccine 7 yrs/> im0.5 ML0.5515
58160-842-1190715GlaxoSmithklineTdap vaccine 7 yrs/> im0.5 ML0.510110
58160-842-5290715GlaxoSmithklineTdap vaccine 7 yrs/> im0.5 ML0.510110
0006-4739-0090732MerckPPSV23 VACC 2 YRS+ SUBQ/IM0.5 ML2.5155
0006-4837-0290732MerckPPSV23 VACC 2 YRS+ SUBQ/IM0.5 ML0.5111
0006-4837-0390732MerckPPSV23 VACC 2 YRS+ SUBQ/IM0.5 ML0.510110
0006-4943-0090732MerckPPSV23 VACC 2 YRS+ SUBQ/IM0.5 ML0.510110
43528-002-0590739Dynavax Technologies CoHEPB VACC 2 DOSE ADULT IM1 DOSE0.5515
0006-4992-0090740MerckHEPB VACC 3 DOSE IMMUNSUP IM40 MCG1111
58160-821-1190740GlaxoSmithKlineHEPB VACC 3 DOSE IMMUNSUP IM40 MCG1100.55
58160-821-5290740GlaxoSmithKlineHEPB VACC 3 DOSE IMMUNSUP IM40 MCG1100.55
0006-4094-0290743MerckHEPB VACC 2 DOSE ADOLESC IM1 DOSE110110
0006-4094-0990743MerckHEPB VACC 2 DOSE ADOLESC IM1 DOSE1666
0006-4995-0090743MerckHEPB VACC 2 DOSE ADOLESC IM1 DOSE1111
0006-4995-4190743MerckHEPB VACC 2 DOSE ADOLESC IM1 DOSE110110
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