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
0944-2700-03J1569Baxalta US Inc.Gammagard liquid injection500 MG25155
0944-2700-04J1569Baxalta US Inc.Gammagard liquid injection500 MG5011010
0944-2700-05J1569Baxalta US Inc.Gammagard liquid injection500 MG10012020
0944-2700-06J1569Baxalta US Inc.Gammagard liquid injection500 MG20014040
0944-2700-07J1569Baxalta US Inc.Gammagard liquid injection500 MG30016060
0004-6940-04J1570Genentech, Inc.Ganciclovir sodium injection500 MG1515
25021-185-10J1570Sagent Pharmaceuticals IncGanciclovir sodium injection500 MG125125
42023-173-25J1570Par Pharmaceutical, IncGanciclovir sodium injection500 MG125125
51754-2500-3J1570Exela Pharma SciencesGanciclovir sodium injection500 MG25010110
63323-315-10J1570Fresenius Kabi USA LLCGanciclovir sodium injection500 MG125125
63323-315-94J1570Fresenius Kabi USA LLCGanciclovir sodium injection500 MG125125
53270-0051-1J1571Cangene BioPharma IncHepagam b im injection0.5 ML511010
53270-0052-1J1571Cangene BioPharma IncHepagam b im injection0.5 ML1122
53270-0053-1J1571Cangene BioPharma IncHepagam b im injection0.5 ML1122
53270-0054-1J1571Cangene BioPharma IncHepagam b im injection0.5 ML511010
70504-0051-2J1571Aptevo BioTherapeutics, LLC.Hepagam b im injection0.5 ML511010
70504-0052-2J1571Aptevo BioTherapeutics, LLC.Hepagam b im injection0.5 ML1122
61953-0004-2J1572Grifols USA, LLC.Flebogamma injection500 MG50155
61953-0004-3J1572Grifols USA, LLC.Flebogamma injection500 MG10011010
61953-0004-4J1572Grifols USA, LLC.Flebogamma injection500 MG20012020
61953-0004-5J1572Grifols USA, LLC.Flebogamma injection500 MG40014040
61953-0005-1J1572Grifols USA, LLC.Flebogamma injection500 MG5011010
61953-0005-2J1572Grifols USA, LLC.Flebogamma injection500 MG10012020
61953-0005-3J1572Grifols USA, LLC.Flebogamma injection500 MG20014040
0944-2510-02J1575Baxalta US Inc.Hyqvia 100mg immuneglobulin100 MG2512525
0944-2511-02J1575Baxalta US Inc.Hyqvia 100mg immuneglobulin100 MG5015050
0944-2512-02J1575Baxalta US Inc.Hyqvia 100mg immuneglobulin100 MG1001100100
0944-2513-02J1575Baxalta US Inc.Hyqvia 100mg immuneglobulin100 MG2001200200
0944-2514-02J1575Baxalta US Inc.Hyqvia 100mg immuneglobulin100 MG3001300300
0338-0503-48J1580Baxter Healthcare CorporationGaramycin gentamicin inj80 MG100111
0338-0505-48J1580Baxter Healthcare CorporationGaramycin gentamicin inj80 MG10011.251.25
0338-0507-41J1580Baxter Healthcare CorporationGaramycin gentamicin inj80 MG5010.750.75
0338-0507-48J1580Baxter Healthcare CorporationGaramycin gentamicin inj80 MG10011.51.5
0338-0509-41J1580Baxter Healthcare CorporationGaramycin gentamicin inj80 MG50111
0338-0511-41J1580Baxter Healthcare CorporationGaramycin gentamicin inj80 MG5011.251.25
0409-1207-03J1580Pfizer Inc.Garamycin gentamicin inj80 MG225125
0409-1207-25J1580Pfizer Inc.Garamycin gentamicin inj80 MG225125
63323-010-02J1580Fresenius Kabi USA LLCGaramycin gentamicin inj80 MG225125
63323-010-20J1580Fresenius Kabi USA LLCGaramycin gentamicin inj80 MG202510250
63323-010-94J1580Fresenius Kabi USA LLCGaramycin gentamicin inj80 MG225125
63323-010-95J1580Fresenius Kabi USA LLCGaramycin gentamicin inj80 MG202510250
63323-010-96J1580Fresenius Kabi USA LLCGaramycin gentamicin inj80 MG202510250
63323-173-02J1580Fresenius Kabi USA LLCGaramycin gentamicin inj80 MG2250.256.25
63323-173-94J1580Fresenius Kabi USA LLCGaramycin gentamicin inj80 MG2250.256.25
63323-173-95J1580Fresenius Kabi USA LLCGaramycin gentamicin inj80 MG2250.256.25
57894-350-01J1602Janssen Biotech, Inc.Golimumab for iv use 1mg1 MG415050
0002-8031-01J1610Eli Lilly and CompanyGlucagon hydrochloride/1 mg1 MG1111
0169-7065-15J1610Novo Nordisk? Inc.Glucagon hydrochloride/1 mg1 MG1111
0597-0053-45J1610Boehringer IngelheimGlucagon hydrochloride/1 mg1 MG110110
0597-0260-10J1610Boehringer IngelheimGlucagon hydrochloride/1 mg1 MG1111
63323-593-03J1610Fresenius Kabi USA LLCGlucagon hydrochloride/1 mg1 MG1111
63323-594-03J1610Fresenius Kabi USA LLCGlucagon hydrochloride/1 mg1 MG1111
63323-596-13J1610Fresenius Kabi USA LLCGlucagon hydrochloride/1 mg1 MG110110
0143-9744-10J1626West-Ward Pharmaceuticals CorpGranisetron hcl injection100 MCG11010100
0143-9745-05J1626West-Ward Pharmaceuticals CorpGranisetron hcl injection100 MCG4540200
17478-546-02J1626AkornGranisetron hcl injection100 MCG111010
17478-546-05J1626AkornGranisetron hcl injection100 MCG414040
25021-779-01J1626Mylan InstitutionalGranisetron hcl injection100 MCG111010
25021-781-04J1626Mylan InstitutionalGranisetron hcl injection100 MCG414040
63323-317-01J1626Fresenius Kabi USA LLCGranisetron hcl injection100 MCG110110
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