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
44567-707-25J0690WG Critical CareCefazolin sodium injection500 MG125250
44567-708-10J0690WG Critical CareCefazolin sodium injection500 MG11020200
63323-236-10J0690Fresenius Kabi USA LLCCefazolin sodium injection500 MG125125
63323-237-10J0690Fresenius Kabi USA LLCCefazolin sodium injection500 MG125250
63323-238-61J0690Fresenius Kabi USA LLCCefazolin sodium injection500 MG11020200
63323-449-61J0690Fresenius Kabi USA LLCCefazolin sodium injection500 MG11040400
0264-3193-11J0692B. Braun Medical Inc.Cefepime hcl for injection500 MG124248
0264-3195-11J0692B. Braun Medical Inc.Cefepime hcl for injection500 MG124496
0338-1301-41J0692Baxter Healthcare CorporationCefepime hcl for injection500 MG5024248
0338-1301-48J0692Baxter Healthcare CorporationCefepime hcl for injection500 MG10012448
0409-0217-01J0692Pfizer Inc.Cefepime hcl for injection500 MG125250
0409-0218-01J0692Pfizer Inc.Cefepime hcl for injection500 MG1254100
0409-0219-01J0692Pfizer Inc.Cefepime hcl for injection500 MG110220
0409-0220-01J0692Pfizer Inc.Cefepime hcl for injection500 MG110440
25021-121-20J0692Sagent Pharmaceuticals IncCefepime hcl for injection500 MG110220
25021-121-66J0692Sagent Pharmaceuticals IncCefepime hcl for injection500 MG110220
25021-122-50J0692Sagent Pharmaceuticals IncCefepime hcl for injection500 MG110440
25021-122-67J0692Sagent Pharmaceuticals IncCefepime hcl for injection500 MG110440
44567-240-10J0692WG Critical CareCefepime hcl for injection500 MG110220
44567-241-10J0692WG Critical CareCefepime hcl for injection500 MG110440
63323-326-20J0692Fresenius Kabi USA LLCCefepime hcl for injection500 MG110220
63323-340-20J0692Fresenius Kabi USA LLCCefepime hcl for injection500 MG110440
0143-9876-10J0694West-Ward Pharmaceuticals CorpCefoxitin sodium injection1 GM101100100
0143-9877-25J0694West-Ward Pharmaceuticals CorpCefoxitin sodium injection1 GM125250
0143-9878-25J0694West-Ward Pharmaceuticals CorpCefoxitin sodium injection1 GM125125
0264-3123-11J0694B. Braun Medical Inc.Cefoxitin sodium injection1 GM124124
0264-3125-11J0694B. Braun Medical Inc.Cefoxitin sodium injection1 GM124248
25021-109-10J0694Sagent Pharmaceuticals IncCefoxitin sodium injection1 GM110110
25021-110-20J0694Sagent Pharmaceuticals IncCefoxitin sodium injection1 GM110220
25021-111-99J0694Sagent Pharmaceuticals IncCefoxitin sodium injection1 GM11010100
44567-245-25J0694WG Critical CareCefoxitin sodium injection1 GM125125
44567-245-85J0694WG Critical CareCefoxitin sodium injection1 GM125125
44567-246-25J0694WG Critical CareCefoxitin sodium injection1 GM125250
44567-246-85J0694WG CRITICAL CARECefoxitin sodium injection1 GM125250
44567-247-10J0694WG Critical CareCefoxitin sodium injection1 GM1010100100
63323-341-25J0694Fresenius Kabi USA LLCCefoxitin sodium injection1 GM125125
63323-341-29J0694Fresenius Kabi USA LLCCefoxitin sodium injection1 GM125125
63323-342-25J0694Fresenius Kabi USA LLCCefoxitin sodium injection1 GM125250
63323-342-29J0694Fresenius Kabi USA LLCCefoxitin sodium injection1 GM125250
63323-343-66J0694Fresenius Kabi USA LLCCefoxitin sodium injection1 GM1010100100
0143-9856-25J0696West-Ward Pharmaceuticals CorpCeftriaxone sodium injection250 MG1258200
0143-9857-25J0696West-Ward Pharmaceuticals CorpCeftriaxone sodium injection250 MG1254100
0143-9858-25J0696West-Ward Pharmaceuticals CorpCeftriaxone sodium injection250 MG125250
0143-9859-25J0696West-Ward Pharmaceuticals CorpCeftriaxone sodium injection250 MG125125
0264-3153-11J0696B. Braun Medical Inc.Ceftriaxone sodium injection250 MG124496
0264-3155-11J0696B. Braun Medical Inc.Ceftriaxone sodium injection250 MG1248192
0338-5002-41J0696Baxter Healthcare CorporationCeftriaxone sodium injection250 MG5024496
0338-5003-41J0696Baxter Healthcare CorporationCeftriaxone sodium injection250 MG50248192
0409-7332-01J0696Pfizer Inc.Ceftriaxone sodium injection250 MG110440
0409-7332-20J0696NOVAPLUS/HOSPIRACeftriaxone sodium injection250 MG110440
0409-7333-04J0696Pfizer Inc.Ceftriaxone sodium injection250 MG110440
0409-7333-49J0696Pfizer Inc.Ceftriaxone sodium injection250 MG110440
0409-7334-10J0696Pfizer Inc.Ceftriaxone sodium injection250 MG114040
0409-7334-20J0696Pfizer Inc.Ceftriaxone sodium injection250 MG114040
0409-7335-03J0696Pfizer Inc.Ceftriaxone sodium injection250 MG110880
0409-7335-20J0696NOVAPLUS/HOSPIRACeftriaxone sodium injection250 MG110880
0409-7336-04J0696Pfizer Inc.Ceftriaxone sodium injection250 MG110880
0409-7337-01J0696Pfizer Inc.Ceftriaxone sodium injection250 MG110110
0409-7337-20J0696Pfizer Inc.Ceftriaxone sodium injection250 MG110110
0409-7338-01J0696Pfizer Inc.Ceftriaxone sodium injection250 MG110220
Page 10