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
0004-0403-09J0887Vifor (International) Ltd.Epoetin beta esrd use1 MCG0.31100100
59353-400-09J0887Vifor (International) Ltd.Epoetin beta esrd use1 MCG0.313030
59353-401-09J0887Vifor (International) Ltd.Epoetin beta esrd use1 MCG0.315050
59353-402-09J0887Vifor (International) Ltd.Epoetin beta esrd use1 MCG0.317575
59353-403-09J0887Vifor (International) Ltd.Epoetin beta esrd use1 MCG0.31100100
59353-404-09J0887Vifor (International) Ltd.Epoetin beta esrd use1 MCG0.31150150
59353-405-09J0887Vifor (International) Ltd.Epoetin beta esrd use1 MCG0.31200200
0004-0401-09J0888Vifor (International) Ltd.Epoetin beta non esrd1 MCG0.315050
0004-0402-09J0888Vifor (International) Ltd.Epoetin beta non esrd1 MCG0.317575
0004-0403-09J0888Vifor (International) Ltd.Epoetin beta non esrd1 MCG0.31100100
59353-400-09J0888Vifor (International) Ltd.Epoetin beta non esrd1 MCG0.313030
59353-401-09J0888Vifor (International) Ltd.Epoetin beta non esrd1 MCG0.315050
59353-402-09J0888Vifor (International) Ltd.Epoetin beta non esrd1 MCG0.317575
59353-403-09J0888Vifor (International) Ltd.Epoetin beta non esrd1 MCG0.31100100
59353-404-09J0888Vifor (International) Ltd.Epoetin beta non esrd1 MCG0.31150150
59353-405-09J0888Vifor (International) Ltd.Epoetin beta non esrd1 MCG0.31200200
16714-749-01J0894NorthStar Rx LLCDecitabine injection1 MG115050
16729-224-05J0894Accord Healthcare Inc.Decitabine injection1 MG115050
43598-348-37J0894Dr. Reddy's Laboratories, Inc.Decitabine injection1 MG115050
43598-427-37J0894Dr. Reddy's Laboratories, Inc.Decitabine injection1 MG115050
47335-361-41J0894Sun Pharmaceutical Global Fze.Decitabine injection1 MG115050
55111-556-10J0894Dr. Reddy's Laboratories, Inc.Decitabine injection1 MG115050
59148-046-70J0894Otsuka America Pharmaceutical, Inc.Decitabine injection1 MG115050
62856-600-01J0894Otsuka America Pharmaceutical, Inc.Decitabine injection1 MG115050
68001-347-36J0894BLUE POINT LABORATORIESDecitabine injection1 MG115050
69097-285-37J0894CIPLA USADecitabine injection1 MG115050
0078-0467-91J0895Novartis Pharmaceuticals CorporationDeferoxamine mesylate inj500 MG1414
0409-2336-10J0895Pfizer Inc.Deferoxamine mesylate inj500 MG1414
0409-2337-25J0895Pfizer Inc.Deferoxamine mesylate inj500 MG14416
47781-623-07J0895 ALVOGEN, INC.Deferoxamine mesylate inj500 MG1111
47781-624-07J0895 ALVOGEN, INC.Deferoxamine mesylate inj500 MG1144
52609-4504-6J0895APO PHARMA USADeferoxamine mesylate inj500 MG14416
52609-4505-6J0895APO PHARMA USADeferoxamine mesylate inj500 MG1414
63323-597-10J0895Fresenius Kabi USA LLCDeferoxamine mesylate inj500 MG1111
63323-599-30J0895Fresenius Kabi USA LLCDeferoxamine mesylate inj500 MG1144
55513-710-01J0897Amgen USA, Inc.Denosumab injection1 MG116060
55513-730-01J0897Amgen USA, Inc.Denosumab injection1 MG11120120
0009-0271-01J1000Pfizer Inc.Depo-estradiol cypionate inj5 MG5155
0009-0274-01J1020Pfizer Inc.Methylprednisolone 20 mg inj20 MG5155
0703-0031-01J1020Teva Pharmaceuticals USA, Inc.Methylprednisolone 20 mg inj20 MG1122
0009-0280-02J1030Pfizer Inc.Methylprednisolone 40 mg inj40 MG5155
0009-0280-03J1030Pfizer Inc.Methylprednisolone 40 mg inj40 MG1011010
0009-0280-51J1030Pfizer Inc.Methylprednisolone 40 mg inj40 MG5255125
0009-0280-52J1030Pfizer Inc.Methylprednisolone 40 mg inj40 MG102510250
0009-3073-01J1030Pfizer Inc.Methylprednisolone 40 mg inj40 MG1111
0009-3073-03J1030Pfizer Inc.Methylprednisolone 40 mg inj40 MG125125
0009-3073-22J1030Pfizer Inc.Methylprednisolone 40 mg inj40 MG1111
0009-3073-23J1030Pfizer Inc.Methylprednisolone 40 mg inj40 MG125125
0703-0031-01J1030Teva Pharmaceuticals USA, Inc.Methylprednisolone 40 mg inj40 MG1111
0703-0043-01J1030Teva Pharmaceuticals USA, Inc.Methylprednisolone 40 mg inj40 MG5155
0703-0045-01J1030Teva Pharmaceuticals USA, Inc.Methylprednisolone 40 mg inj40 MG1011010
0009-0306-02J1040Pfizer Inc.Methylprednisolone 80 mg inj80 MG5155
0009-0306-12J1040Pfizer Inc.Methylprednisolone 80 mg inj80 MG5255125
0009-3475-01J1040Pfizer Inc.Methylprednisolone 80 mg inj80 MG1111
0009-3475-03J1040Pfizer Inc.Methylprednisolone 80 mg inj80 MG125125
0009-3475-22J1040Pfizer Inc.Methylprednisolone 80 mg inj80 MG1111
0009-3475-23J1040Pfizer Inc.Methylprednisolone 80 mg inj80 MG125125
0703-0051-01J1040Teva Pharmaceuticals USA, Inc.Methylprednisolone 80 mg inj80 MG1111
0703-0051-04J1040Teva Pharmaceuticals USA, Inc.Methylprednisolone 80 mg inj80 MG125125
0703-0063-01J1040Teva Pharmaceuticals USA, Inc.Methylprednisolone 80 mg inj80 MG5155
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