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
0338-6045-37J1450Baxter Healthcare CorporationFluconazole200 MG20010220
0338-6046-48J1450Baxter Healthcare CorporationFluconazole200 MG10010110
0409-4684-13J1450Pfizer Inc.Fluconazole200 MG10024124
0409-4688-12J1450Pfizer Inc.Fluconazole200 MG20024248
0409-4688-18J1450Pfizer Inc.Fluconazole200 MG10024124
25021-113-82J1450Sagent Pharmaceuticals IncFluconazole200 MG10010110
25021-113-87J1450Sagent Pharmaceuticals IncFluconazole200 MG20010220
25021-184-87J1450SAGENT PHARMACEUTICALFluconazole200 MG20010220
36000-002-10J1450ClarisFluconazole200 MG10010110
36000-003-06J1450ClarisFluconazole200 MG2006212
0006-3061-00J1453Merck Sharp & Dohme Corp.Fosaprepitant injection1 MG11150150
0006-3941-32J1453Merck Sharp & Dohme Corp.Fosaprepitant injection1 MG11150150
68135-020-01J1458BioMarin Pharmaceutical, Inc.Galsulfase injection1 MG1115
44206-436-05J1459CSL BehringInj ivig privigen 500 mg500 MG5011010
44206-437-10J1459CSL BehringInj ivig privigen 500 mg500 MG11012020
44206-438-20J1459CSL BehringInj ivig privigen 500 mg500 MG20014040
44206-439-40J1459CSL BehringInj ivig privigen 500 mg500 MG40018080
13533-635-04J1460Grifols USA, LLC.Gamma globulin 1 cc inj1 CC2122
13533-635-12J1460Grifols USA, LLC.Gamma globulin 1 cc inj1 CC1011010
0944-2850-01J1555Baxalta US Inc.Inj cuvitru, 100 mg100 MG111010
0944-2850-03J1555Baxalta US Inc.Inj cuvitru, 100 mg100 MG112020
0944-2850-05J1555Baxalta US Inc.Inj cuvitru, 100 mg100 MG114040
0944-2850-07J1555Baxalta US Inc.Inj cuvitru, 100 mg100 MG118080
59730-6502-1J1556Biotest Pharmaceuticals CorporationInj, imm glob bivigam, 500mg500 MG5011010
59730-6503-1J1556Biotest Pharmaceuticals CorporationInj, imm glob bivigam, 500mg500 MG10012020
44206-451-01J1559CSL BehringHizentra injection100 MG511010
44206-452-02J1559CSL BehringHizentra injection100 MG1012020
44206-454-04J1559CSL BehringHizentra injection100 MG2014040
44206-455-10J1559CSL BehringHizentra injection100 MG501100100
13533-635-04J1560Grifols USA, LLC.Gamma globulin > 10 cc inj10 CC210.20.2
13533-635-12J1560Grifols USA, LLC.Gamma globulin > 10 cc inj10 CC10111
13533-800-12J1561Grifols USA, LLC.Gamunex-c/gammaked500 MG10122
13533-800-15J1561Grifols USA, LLC.Gamunex-c/gammaked500 MG25155
13533-800-20J1561Grifols USA, LLC.Gamunex-c/gammaked500 MG5011010
13533-800-24J1561Grifols USA, LLC.Gamunex-c/gammaked500 MG20014040
13533-800-40J1561Grifols USA, LLC.Gamunex-c/gammaked500 MG40018080
13533-800-71J1561Grifols USA, LLC.Gamunex-c/gammaked500 MG10012020
76125-900-01J1561Kedrion BioPharma, Inc.Gamunex-c/gammaked500 MG10122
76125-900-10J1561Kedrion BioPharma, Inc.Gamunex-c/gammaked500 MG10012020
76125-900-20J1561Kedrion BioPharma, Inc.Gamunex-c/gammaked500 MG20014040
76125-900-50J1561Kedrion BioPharma, Inc.Gamunex-c/gammaked500 MG5011010
0944-2656-03J1566Baxalta US Inc.Immune globulin, powder500 MG111010
0944-2658-04J1566Baxalta US Inc.Immune globulin, powder500 MG112020
44206-417-06J1566CSL BehringImmune globulin, powder500 MG111212
44206-418-12J1566CSL BehringImmune globulin, powder500 MG112424
67467-843-01J1568Octapharma USAOctagam injection500 MG20122
67467-843-02J1568Octapharma USAOctagam injection500 MG50155
67467-843-03J1568Octapharma USAOctagam injection500 MG10011010
67467-843-04J1568Octapharma USAOctagam injection500 MG20012020
68209-843-04J1568Octapharma USAOctagam injection500 MG20012020
68982-840-01J1568Octapharma USAOctagam injection500 MG20122
68982-840-02J1568Octapharma USAOctagam injection500 MG50155
68982-840-03J1568Octapharma USAOctagam injection500 MG10011010
68982-840-04J1568Octapharma USAOctagam injection500 MG20012020
68982-840-05J1568Octapharma USAOctagam injection500 MG50015050
68982-850-01J1568Octapharma USAOctagam injection500 MG20144
68982-850-02J1568Octapharma USAOctagam injection500 MG5011010
68982-850-03J1568Octapharma USAOctagam injection500 MG10012020
68982-850-04J1568Octapharma USAOctagam injection500 MG20014040
0944-2700-02J1569Baxalta US Inc.Gammagard liquid injection500 MG10122
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