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
0338-1077-02J1250Baxter Healthcare CorporationInj dobutamine hcl/250 mg250 MG25018472
0409-2025-20J1250Pfizer Inc.Inj dobutamine hcl/250 mg250 MG2010110
0409-2025-54J1250Pfizer Inc.Inj dobutamine hcl/250 mg250 MG4010220
0409-2344-01J1250Pfizer Inc.Inj dobutamine hcl/250 mg250 MG20111
0409-2344-02J1250Pfizer Inc.Inj dobutamine hcl/250 mg250 MG2010110
0409-2344-88J1250Pfizer Inc.Inj dobutamine hcl/250 mg250 MG2010110
0338-1005-02J1265Baxter Healthcare CorporationDopamine injection40 MG25018590
0338-1005-03J1265Baxter Healthcare CorporationDopamine injection40 MG5001210120
0338-1007-02J1265Baxter Healthcare CorporationDopamine injection40 MG2501810180
0338-1007-03J1265Baxter Healthcare CorporationDopamine injection40 MG5001220240
0338-1009-02J1265Baxter Healthcare CorporationDopamine injection40 MG2501820360
0409-5820-01J1265Pfizer Inc.Dopamine injection40 MG5255125
0409-7809-22J1265Pfizer Inc.Dopamine injection40 MG2501210120
0409-7809-24J1265Pfizer Inc.Dopamine injection40 MG5001220240
0409-7810-22J1265Pfizer Inc.Dopamine injection40 MG2501220240
0409-9104-20J1265Pfizer Inc.Dopamine injection40 MG102510250
59630-309-10J1267Shionogi IncDoripenem injection10 MG11025250
59630-320-10J1267Shionogi IncDoripenem injection10 MG11050500
58468-0123-1J1270Genzyme CorporationInjection, doxercalciferol1 MCG2504200
58468-0126-1J1270Genzyme CorporationInjection, doxercalciferol1 MCG1502100
58468-0127-1J1270Genzyme CorporationInjection, doxercalciferol1 MCG2504200
70121-1408-5J1270Amneal BiosciencesInjection, doxercalciferol1 MCG2504200
47783-101-01J1290Dyax Corp.Ecallantide injection1 MG131030
25682-001-01J1300Alexion PharmaceuticalsEculizumab injection10 MG113030
0173-0517-00J1325GlaxoSmithklineEpoprostenol injection0.5 MG1111
0173-0519-00J1325GlaxoSmithklineEpoprostenol injection0.5 MG1133
0703-1985-01J1325Sicor Pharmaceuticals, Inc.Epoprostenol injection0.5 MG1111
0703-1995-01J1325Sicor Pharmaceuticals, Inc.Epoprostenol injection0.5 MG1133
66215-402-01J1325Actelion Pharmaceuticals U.S, IncEpoprostenol injection0.5 MG1133
66215-403-01J1325Actelion Pharmaceuticals U.S, IncEpoprostenol injection0.5 MG1111
0006-3843-71J1335Merck Sharp & Dohme Corp.Ertapenem injection500 MG110220
0409-6476-44J1364Pfizer Inc.Erythro lactobionate /500 mg500 MG110110
0409-6482-01J1364Pfizer Inc.Erythro lactobionate /500 mg500 MG1011010
0574-0870-05J1380Perrigo PharmaceuticalsEstradiol valerate 10 mg inj10 MG511010
0574-0872-05J1380Perrigo PharmaceuticalsEstradiol valerate 10 mg inj10 MG51520
42023-110-01J1380Par Pharmaceutical, IncEstradiol valerate 10 mg inj10 MG5155
42023-111-01J1380Par Pharmaceutical, IncEstradiol valerate 10 mg inj10 MG511010
42023-112-01J1380Par Pharmaceutical, IncEstradiol valerate 10 mg inj10 MG512020
0046-0749-05J1410Pfizer Inc.Inj estrogen conjugate 25 mg25 MG1111
0517-0650-01J1439American RegentInj ferric carboxymaltos 1mg1mg151750750
0517-0650-02J1439AMERICAN REGENT, INC.Inj ferric carboxymaltos 1mg1 MG1527501500
55513-209-10J1442Amgen USA, Inc.Inj filgrastim excl biosimil1 MCG0.8104804800
55513-209-91J1442Amgen USA, Inc.Inj filgrastim excl biosimil1 MCG0.81480480
55513-530-10J1442Amgen USA, Inc.Inj filgrastim excl biosimil1 MCG1103003000
55513-546-10J1442Amgen USA, Inc.Inj filgrastim excl biosimil1 MCG1.6104804800
55513-924-10J1442Amgen USA, Inc.Inj filgrastim excl biosimil1 MCG0.5103003000
55513-924-91J1442Amgen USA, Inc.Inj filgrastim excl biosimil1 MCG0.51300300
63459-910-11J1447Cephalon Inc.Inj tbo filgrastim 1 microg1 MCG0.51300300
63459-910-15J1447Cephalon Inc.Inj tbo filgrastim 1 microg1 MCG0.5103003000
63459-910-17J1447Cephalon Inc.Inj tbo filgrastim 1 microg1 MCG0.51300300
63459-910-36J1447Cephalon Inc.Inj tbo filgrastim 1 microg1 MCG0.553001500
63459-912-11J1447Cephalon Inc.Inj tbo filgrastim 1 microg1 MCG0.81480480
63459-912-15J1447Cephalon Inc.Inj tbo filgrastim 1 microg1 MCG0.8104804800
63459-912-17J1447Cephalon Inc.Inj tbo filgrastim 1 microg1 MCG0.81480480
63459-912-36J1447Cephalon Inc.Inj tbo filgrastim 1 microg1 MCG0.854802400
0143-9666-06J1450West-Ward Pharmaceuticals CorpFluconazole200 MG2006212
0143-9667-06J1450West-Ward Pharmaceuticals CorpFluconazole200 MG100616
0143-9668-06J1450West-Ward Pharmaceuticals CorpFluconazole200 MG2006212
0143-9669-06J1450West-Ward Pharmaceuticals CorpFluconazole200 MG100616
0143-9899-91J1450West-Ward Pharmaceuticals CorpFluconazole200 MG100616
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