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
58160-820-1190743GlaxoSmithKlineHEPB VACC 2 DOSE ADOLESC IM1 DOSE0.510110
0006-4094-0990744MerckHEPB VACC 3 DOSE PED/ADOL IM1 DOSE1666
0006-4981-0090744MerckHEPB VACC 3 DOSE PED/ADOL IM1 DOSE0.510110
0006-4995-4190744MerckHEPB VACC 3 DOSE PED/ADOL IM1 DOSE110110
58160-820-1190744GlaxoSmithKlineHEPB VACC 3 DOSE PED/ADOL IM1 DOSE0.510110
58160-820-5290744GlaxoSmithKlineHEPB VACC 3 DOSE PED/ADOL IM1 DOSE0.510110
0006-4094-0290746MerckHEPB VACCINE 3 DOSE ADULT IM1 EACH110110
0006-4094-0990746MerckHEPB VACCINE 3 DOSE ADULT IM1 DOSE1616
0006-4995-0090746MerckHEPB VACCINE 3 DOSE ADULT IM1 EACH1111
0006-4995-4190746MerckHEPB VACCINE 3 DOSE ADULT IM1 EACH110110
58160-821-1190746GlaxoSmithKlineHEPB VACCINE 3 DOSE ADULT IM1 EACH110110
58160-821-5290746GlaxoSmithKlineHEPB VACCINE 3 DOSE ADULT IM1 EACH110110
0006-4992-0090747MerckHEPB VACC 4 DOSE IMMUNSUP IM40 MCG1111
58160-821-1190747GlaxoSmithKlineHEPB VACC 4 DOSE IMMUNSUP IM40 MCG1100.55
58160-821-5290747GlaxoSmithKlineHEPB VACC 4 DOSE IMMUNSUP IM40 MCG1100.55
70461-418-1090756Seqirus IncCCIIV4 VACC ABX FREE IM0.5 ml511010
69126-004-01A9515Zevacor MolecularCholine C 11, diagnosticPer Study Dose30111
68152-103-03A9543Spectrum PharmaceuticalsY90 ibritumomab, rxUP TO 40 millicuries1111
67684-2000-0A9575Guerbet LLCInj gadoterate meglumi 0.1ml0.1 ML51050500
67684-2000-1A9575Guerbet LLCInj gadoterate meglumi 0.1ml0.1 ML10101001000
67684-2000-2A9575Guerbet LLCInj gadoterate meglumi 0.1ml0.1 ML15101501500
67684-2000-3A9575Guerbet LLCInj gadoterate meglumi 0.1ml0.1 ML20102002000
67684-2000-4A9575Guerbet LLCInj gadoterate meglumi 0.1ml0.1 ML100610006000
67684-2000-5A9575Guerbet LLCInj gadoterate meglumi 0.1ml0.1 ML105100500
67684-2000-6A9575Guerbet LLCInj gadoterate meglumi 0.1ml0.1 ML155150750
67684-2000-7A9575Guerbet LLCInj gadoterate meglumi 0.1ml0.1 ML2052001000
0270-1111-70A9576Bracco DiagnosticsInj prohance multipack1 ML50550250
0270-5164-12A9577Bracco DiagnosticsInj multihance1 ML55525
0270-5164-13A9577Bracco DiagnosticsInj multihance1 ML1051050
0270-5164-14A9577Bracco DiagnosticsInj multihance1 ML1551575
0270-5164-15A9577Bracco DiagnosticsInj multihance1 ML20520100
0270-5264-16A9578Bracco DiagnosticsInj multihance multipack1 ML50550250
0270-5264-17A9578Bracco DiagnosticsInj multihance multipack1 ML1005100500
0270-1111-01A9579Bracco DiagnosticsGad-base mr contrast nos,1ml1 ML1051050
0270-1111-02A9579Bracco DiagnosticsGad-base mr contrast nos,1ml1 ML1551575
0270-1111-03A9579Bracco DiagnosticsGad-base mr contrast nos,1ml1 ML20520100
0270-1111-04A9579Bracco DiagnosticsGad-base mr contrast nos,1ml1 ML55525
0270-1111-16A9579Bracco DiagnosticsGad-base mr contrast nos,1ml1 ML1051050
0270-1111-45A9579Bracco DiagnosticsGad-base mr contrast nos,1ml1 ML1751785
0407-0690-05A9579GE HealthcareGad-base mr contrast nos,1ml1 ML510550
0407-0690-10A9579GE HealthcareGad-base mr contrast nos,1ml1 ML101010100
0407-0690-12A9579GE HealthcareGad-base mr contrast nos,1ml1 ML101010100
0407-0690-15A9579GE HealthcareGad-base mr contrast nos,1ml1 ML151015150
0407-0690-17A9579GE HealthcareGad-base mr contrast nos,1ml1 ML151015150
0407-0690-20A9579GE HealthcareGad-base mr contrast nos,1ml1 ML201020200
0407-0690-22A9579GE HealthcareGad-base mr contrast nos,1ml1 ML201020200
0407-0690-30A9579GE HealthcareGad-base mr contrast nos,1ml1 ML101010100
0407-0690-40A9579GE HealthcareGad-base mr contrast nos,1ml1 ML151015150
0407-0690-42A9579GE HealthcareGad-base mr contrast nos,1ml1 ML151015150
0407-0690-43A9579GE HealthcareGad-base mr contrast nos,1ml1 ML201020200
0407-0690-50A9579GE HealthcareGad-base mr contrast nos,1ml1 ML201020200
0407-0690-70A9579GE HealthcareGad-base mr contrast nos,1ml1 ML100101001000
0407-0691-62A9579GE HealthcareGad-base mr contrast nos,1ml1 ML151015150
0407-0691-63A9579GE HealthcareGad-base mr contrast nos,1ml1 ML201020200
50419-188-01A9579Bayer HealthCare Pharmaceuticals Inc.Gad-base mr contrast nos,1ml1 ML102010200
50419-188-02A9579Bayer HealthCare Pharmaceuticals Inc.Gad-base mr contrast nos,1ml1 ML202020400
50419-188-05A9579Bayer HealthCare Pharmaceuticals Inc.Gad-base mr contrast nos,1ml1 ML5205100
50419-188-11A9579Bayer HealthCare Pharmaceuticals Inc.Gad-base mr contrast nos,1ml1 ML100101001000
50419-188-15A9579Bayer HealthCare Pharmaceuticals Inc.Gad-base mr contrast nos,1ml1 ML152015300
50419-188-36A9579Bayer HealthCare Pharmaceuticals Inc.Gad-base mr contrast nos,1ml1 ML1051050
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