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 |
|---|---|---|---|---|---|---|---|---|
| 13533-636-02 | 90371 | Grifols USA, LLC. | Hep b ig im | 1 ML | 1 | 1 | 1 | 1 |
| 13533-636-03 | 90371 | Grifols USA, LLC. | Hep b ig im | 1 ML | 0.5 | 1 | 0.5 | 0.5 |
| 13533-636-05 | 90371 | Grifols USA, LLC. | Hep b ig im | 1 ML | 5 | 1 | 5 | 5 |
| 59730-4202-1 | 90371 | Biotest Pharmaceuticals Corporation | Hep b ig im | 1 ML | 1 | 1 | 1 | 1 |
| 59730-4203-1 | 90371 | Biotest Pharmaceuticals Corporation | Hep b ig im | 1 ML | 5 | 1 | 5 | 5 |
| 13533-618-02 | 90375 | Grifols USA, LLC. | Rabies ig im/sc | 150 IU | 2 | 1 | 2 | 2 |
| 13533-618-10 | 90375 | Grifols USA, LLC. | Rabies ig im/sc | 150 IU | 10 | 1 | 10 | 10 |
| 49281-190-20 | 90376 | sanofi pasteur | Rabies ig heat treated | 150 IU | 2 | 1 | 2 | 2 |
| 0052-0602-02 | 90585 | Organon USA, Inc. | Bcg vaccine percut | 50 MG | 1 | 1 | 1 | 1 |
| 0052-0603-02 | 90585 | Organon USA, Inc. | Bcg vaccine percut | 50 MG | 1 | 1 | 1 | 1 |
| 0052-0602-02 | 90586 | Organon USA, Inc. | Bcg vaccine intravesical | 1 EACH | 1 | 1 | 1 | 1 |
| 0052-0603-02 | 90586 | Organon USA, Inc. | Bcg vaccine intravesical | 1 EACH | 1 | 1 | 1 | 1 |
| 0006-4096-02 | 90632 | Merck Sharp & Dohme Corp. | Hepa vaccine adult im | 1 ML | 1 | 10 | 1 | 10 |
| 0006-4841-00 | 90632 | Merck Sharp & Dohme Corp. | Hepa vaccine adult im | 1 ML | 1 | 1 | 1 | 1 |
| 0006-4841-41 | 90632 | Merck Sharp & Dohme Corp. | Hepa vaccine adult im | 1 ML | 1 | 10 | 1 | 10 |
| 58160-826-11 | 90632 | GlaxoSmithkline | Hepa vaccine adult im | 1 ML | 1 | 10 | 1 | 10 |
| 58160-826-52 | 90632 | GlaxoSmithkline | Hepa vaccine adult im | 1 ML | 1 | 10 | 1 | 10 |
| 0005-1971-02 | 90670 | Wyeth/Pfizer U.S. | PCV13 Vaccine IM | 0.5 ML | 0.5 | 10 | 1 | 10 |
| 0005-1971-05 | 90670 | Wyeth/Pfizer U.S. | PCV13 Vaccine IM | 0.5 ML | 0.5 | 1 | 1 | 1 |
| 42874-016-10 | 90673 | Protein Sciences | Riv3 vaccine no preserv im | 0.5 ML | 0.5 | 10 | 1 | 10 |
| 42874-017-10 | 90673 | Protein Sciences | Riv3 vaccine no preserv im | 0.5 ML | 0.5 | 10 | 1 | 10 |
| 49281-250-51 | 90675 | sanofi pasteur | Rabies vaccine im | 1 ML | 1 | 1 | 1 | 1 |
| 58160-964-12 | 90675 | GlaxoSmithkline | Rabies vaccine im | 1 ML | 1 | 1 | 1 | 1 |
| 63851-501-02 | 90675 | GlaxoSmithkline | Rabies vaccine im | 1 ML | 1 | 1 | 1 | 1 |
| 13533-131-01 | 90714 | Grifols USA, LLC. | Td vacc no presv 7 yrs+ im | 0.5 ML | 0.5 | 10 | 1 | 10 |
| 49281-215-10 | 90714 | sanofi pasteur | Td vacc no presv 7 yrs+ im | 0.5 ML | 0.5 | 10 | 1 | 10 |
| 49281-215-15 | 90714 | sanofi pasteur | Td vacc no presv 7 yrs+ im | 0.5 ML | 0.5 | 10 | 1 | 10 |
| 49281-400-10 | 90715 | sanofi pasteur | Tdap vaccine 7 yrs/> im | 0.5 ML | 0.5 | 10 | 1 | 10 |
| 49281-400-15 | 90715 | sanofi pasteur | Tdap vaccine 7 yrs/> im | 0.5 ML | 0.5 | 5 | 1 | 5 |
| 58160-842-11 | 90715 | GlaxoSmithkline | Tdap vaccine 7 yrs/> im | 0.5 ML | 0.5 | 10 | 1 | 10 |
| 58160-842-52 | 90715 | GlaxoSmithkline | Tdap vaccine 7 yrs/> im | 0.5 ML | 0.5 | 10 | 1 | 10 |
| 0006-4739-00 | 90732 | Merck | PPSV23 VACC 2 YRS+ SUBQ/IM | 0.5 ML | 2.5 | 1 | 5 | 5 |
| 0006-4837-02 | 90732 | Merck | PPSV23 VACC 2 YRS+ SUBQ/IM | 0.5 ML | 0.5 | 1 | 1 | 1 |
| 0006-4837-03 | 90732 | Merck | PPSV23 VACC 2 YRS+ SUBQ/IM | 0.5 ML | 0.5 | 10 | 1 | 10 |
| 0006-4943-00 | 90732 | Merck | PPSV23 VACC 2 YRS+ SUBQ/IM | 0.5 ML | 0.5 | 10 | 1 | 10 |
| 43528-002-05 | 90739 | Dynavax Technologies Co | HEPB VACC 2 DOSE ADULT IM | 1 DOSE | 0.5 | 5 | 1 | 5 |
| 0006-4992-00 | 90740 | Merck | HEPB VACC 3 DOSE IMMUNSUP IM | 40 MCG | 1 | 1 | 1 | 1 |
| 58160-821-11 | 90740 | GlaxoSmithKline | HEPB VACC 3 DOSE IMMUNSUP IM | 40 MCG | 1 | 10 | 0.5 | 5 |
| 58160-821-52 | 90740 | GlaxoSmithKline | HEPB VACC 3 DOSE IMMUNSUP IM | 40 MCG | 1 | 10 | 0.5 | 5 |
| 0006-4094-02 | 90743 | Merck | HEPB VACC 2 DOSE ADOLESC IM | 1 DOSE | 1 | 10 | 1 | 10 |
| 0006-4094-09 | 90743 | Merck | HEPB VACC 2 DOSE ADOLESC IM | 1 DOSE | 1 | 6 | 6 | 6 |
| 0006-4995-00 | 90743 | Merck | HEPB VACC 2 DOSE ADOLESC IM | 1 DOSE | 1 | 1 | 1 | 1 |
| 0006-4995-41 | 90743 | Merck | HEPB VACC 2 DOSE ADOLESC IM | 1 DOSE | 1 | 10 | 1 | 10 |
| 58160-820-11 | 90743 | GlaxoSmithKline | HEPB VACC 2 DOSE ADOLESC IM | 1 DOSE | 0.5 | 10 | 1 | 10 |
| 0006-4094-09 | 90744 | Merck | HEPB VACC 3 DOSE PED/ADOL IM | 1 DOSE | 1 | 6 | 6 | 6 |
| 0006-4981-00 | 90744 | Merck | HEPB VACC 3 DOSE PED/ADOL IM | 1 DOSE | 0.5 | 10 | 1 | 10 |
| 0006-4995-41 | 90744 | Merck | HEPB VACC 3 DOSE PED/ADOL IM | 1 DOSE | 1 | 10 | 1 | 10 |
| 58160-820-11 | 90744 | GlaxoSmithKline | HEPB VACC 3 DOSE PED/ADOL IM | 1 DOSE | 0.5 | 10 | 1 | 10 |
| 58160-820-52 | 90744 | GlaxoSmithKline | HEPB VACC 3 DOSE PED/ADOL IM | 1 DOSE | 0.5 | 10 | 1 | 10 |
| 0006-4094-02 | 90746 | Merck | HEPB VACCINE 3 DOSE ADULT IM | 1 EACH | 1 | 10 | 1 | 10 |
| 0006-4094-09 | 90746 | Merck | HEPB VACCINE 3 DOSE ADULT IM | 1 DOSE | 1 | 6 | 1 | 6 |
| 0006-4995-00 | 90746 | Merck | HEPB VACCINE 3 DOSE ADULT IM | 1 EACH | 1 | 1 | 1 | 1 |
| 0006-4995-41 | 90746 | Merck | HEPB VACCINE 3 DOSE ADULT IM | 1 EACH | 1 | 10 | 1 | 10 |
| 58160-821-11 | 90746 | GlaxoSmithKline | HEPB VACCINE 3 DOSE ADULT IM | 1 EACH | 1 | 10 | 1 | 10 |
| 58160-821-52 | 90746 | GlaxoSmithKline | HEPB VACCINE 3 DOSE ADULT IM | 1 EACH | 1 | 10 | 1 | 10 |
| 0006-4992-00 | 90747 | Merck | HEPB VACC 4 DOSE IMMUNSUP IM | 40 MCG | 1 | 1 | 1 | 1 |
| 58160-821-11 | 90747 | GlaxoSmithKline | HEPB VACC 4 DOSE IMMUNSUP IM | 40 MCG | 1 | 10 | 0.5 | 5 |
| 58160-821-52 | 90747 | GlaxoSmithKline | HEPB VACC 4 DOSE IMMUNSUP IM | 40 MCG | 1 | 10 | 0.5 | 5 |
| 69126-004-01 | A9515 | Zevacor Molecular | Choline C 11, diagnostic | Per Study Dose | 30 | 1 | 1 | 1 |
| 68152-103-03 | A9543 | Spectrum Pharmaceuticals | Y90 ibritumomab, rx | UP TO 40 millicuries | 1 | 1 | 1 | 1 |
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