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
0409-7338-20J0696Pfizer Inc.Ceftriaxone sodium injection250 MG110220
0781-3206-85J0696Sandoz, Inc.Ceftriaxone sodium injection250 MG1111
0781-3206-95J0696Sandoz, Inc.Ceftriaxone sodium injection250 MG110110
0781-3207-85J0696Sandoz, Inc.Ceftriaxone sodium injection250 MG1122
0781-3207-95J0696Sandoz, Inc.Ceftriaxone sodium injection250 MG110220
0781-3208-85J0696Sandoz, Inc.Ceftriaxone sodium injection250 MG1144
0781-3208-95J0696Sandoz, Inc.Ceftriaxone sodium injection250 MG110440
0781-3209-95J0696Sandoz, Inc.Ceftriaxone sodium injection250 MG110880
0781-3210-46J0696Sandoz, Inc.Ceftriaxone sodium injection250 MG114040
0781-9328-95J0696Sandoz, Inc.Ceftriaxone sodium injection250 MG110440
25021-105-10J0696Sagent Pharmaceuticals IncCeftriaxone sodium injection250 MG125250
25021-105-66J0696Sagent Pharmaceuticals IncCeftriaxone sodium injection250 MG125250
25021-106-10J0696Sagent Pharmaceuticals IncCeftriaxone sodium injection250 MG1254100
25021-106-67J0696Sagent Pharmaceuticals IncCeftriaxone sodium injection250 MG1254100
25021-107-20J0696Sagent Pharmaceuticals IncCeftriaxone sodium injection250 MG1258200
25021-107-68J0696Sagent Pharmaceuticals IncCeftriaxone sodium injection250 MG1258200
25021-108-69J0696Sagent Pharmaceuticals IncCeftriaxone sodium injection250 MG114040
25021-108-99J0696Sagent Pharmaceuticals IncCeftriaxone sodium injection250 MG114040
44567-701-25J0696WG Critical CareCeftriaxone sodium injection250 MG1254100
44567-702-25J0696WG Critical CareCeftriaxone sodium injection250 MG1258200
44567-703-01J0696WG Critical CareCeftriaxone sodium injection250 MG114040
63323-345-10J0696Fresenius Kabi USA LLCCeftriaxone sodium injection250 MG125250
63323-346-10J0696Fresenius Kabi USA LLCCeftriaxone sodium injection250 MG1254100
63323-347-20J0696Fresenius Kabi USA LLCCeftriaxone sodium injection250 MG110880
63323-348-61J0696Fresenius Kabi USA LLCCeftriaxone sodium injection250 MG114040
64679-701-02J0696Wockhardt USA LLCCeftriaxone sodium injection250 MG110110
64679-702-02J0696Wockhardt USA LLCCeftriaxone sodium injection250 MG110220
64679-703-01J0696Wockhardt USA LLCCeftriaxone sodium injection250 MG110880
64679-983-02J0696Wockhardt USA LLCCeftriaxone sodium injection250 MG110440
68180-611-01J0696Lupin PharmaceuticalsCeftriaxone sodium injection250 MG1111
68180-611-10J0696Lupin PharmaceuticalsCeftriaxone sodium injection250 MG110110
68180-622-01J0696Lupin PharmaceuticalsCeftriaxone sodium injection250 MG1122
68180-622-10J0696Lupin PharmaceuticalsCeftriaxone sodium injection250 MG110220
68180-633-01J0696Lupin PharmaceuticalsCeftriaxone sodium injection250 MG1144
68180-633-10J0696Lupin PharmaceuticalsCeftriaxone sodium injection250 MG110440
68180-644-10J0696Lupin PharmaceuticalsCeftriaxone sodium injection250 MG110880
0143-9567-25J0697West-Ward Pharmaceuticals CorpSterile cefuroxime injection750 MG125250
0143-9568-25J0697West-Ward Pharmaceuticals CorpSterile cefuroxime injection750 MG125125
0143-9569-10J0697West-Ward Pharmaceuticals CorpSterile cefuroxime injection750 MG11010100
0143-9976-03J0697West-Ward Pharmaceuticals CorpSterile cefuroxime injection750 MG11010100
0143-9977-22J0697West-Ward Pharmaceuticals CorpSterile cefuroxime injection750 MG125250
0143-9979-22J0697West-Ward Pharmaceuticals CorpSterile cefuroxime injection750 MG125125
25021-118-10J0697SAGENT PHARMACEUTICALS, INC.Sterile cefuroxime injection750 MG125125
25021-119-20J0697Sagent Pharmaceuticals IncSterile cefuroxime injection750 MG125250
0085-4320-01J0702Schering CorporationBetamethasone acet&sod phosp3 MG & 3 MG5155
0517-0720-01J0702American RegentBetamethasone acet&sod phosp3 MG & 3 MG5155
0456-0400-10J0712Forest LaboratoriesCeftaroline fosamil inj10 MG11040400
0456-0600-10J0712Forest LaboratoriesCeftaroline fosamil inj10 MG11060600
0264-3143-11J0713B. Braun Medical Inc.Inj ceftazidime per 500 mg500 MG124248
0264-3145-11J0713B. Braun Medical Inc.Inj ceftazidime per 500 mg500 MG124496
0409-5082-16J0713Pfizer Inc.Inj ceftazidime per 500 mg500 MG125250
0409-5084-11J0713Pfizer Inc.Inj ceftazidime per 500 mg500 MG110440
0409-5086-11J0713Pfizer Inc.Inj ceftazidime per 500 mg500 MG11012120
0409-5092-16J0713Pfizer Inc.Inj ceftazidime per 500 mg500 MG125250
0409-5093-11J0713Pfizer Inc.Inj ceftazidime per 500 mg500 MG110440
25021-127-20J0713Sagent Pharmaceuticals IncInj ceftazidime per 500 mg500 MG125250
25021-127-66J0713Sagent Pharmaceuticals IncInj ceftazidime per 500 mg500 MG125250
25021-128-50J0713Sagent Pharmaceuticals IncInj ceftazidime per 500 mg500 MG110440
25021-128-67J0713Sagent Pharmaceuticals IncInj ceftazidime per 500 mg500 MG110440
25021-129-69J0713Sagent Pharmaceuticals IncInj ceftazidime per 500 mg500 MG161272
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