NDC - HCPCS Crosswalk

Effective January 1, 2019 through March 31, 2019

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
0069-0220-02J1645Pfizer Inc.Dalteparin sodium2500 IU0.510550
0069-0223-02J1645Pfizer Inc.Dalteparin sodium2500 IU0.610660
0069-0228-02J1645Pfizer Inc.Dalteparin sodium2500 IU0.72107.272
0069-0232-01J1645PFIZER INC.Dalteparin sodium2500 IU3.813838
0075-0620-40J1650Sanofi-AventisInj enoxaparin sodium10 MG0.410440
0075-0621-60J1650Sanofi-AventisInj enoxaparin sodium10 MG0.610660
0075-0622-80J1650Sanofi-AventisInj enoxaparin sodium10 MG0.810880
0075-0623-00J1650Sanofi-AventisInj enoxaparin sodium10 MG11010100
0075-0624-30J1650Sanofi-AventisInj enoxaparin sodium10 MG0.310330
0075-0626-03J1650Sanofi-AventisInj enoxaparin sodium10 MG313030
0075-2912-01J1650Sanofi-AventisInj enoxaparin sodium10 MG0.81012120
0075-2915-01J1650Sanofi-AventisInj enoxaparin sodium10 MG11015150
0075-8013-10J1650Sanofi-AventisInj enoxaparin sodium10 MG0.310330
0075-8014-10J1650Sanofi-AventisInj enoxaparin sodium10 MG0.410440
0075-8016-10J1650Sanofi-AventisInj enoxaparin sodium10 MG0.610660
0075-8018-10J1650Sanofi-AventisInj enoxaparin sodium10 MG0.810880
0075-8020-10J1650Sanofi-AventisInj enoxaparin sodium10 MG11010100
0075-8022-10J1650Sanofi-AventisInj enoxaparin sodium10 MG0.81012120
0075-8025-10J1650Sanofi-AventisInj enoxaparin sodium10 MG11015150
0075-8030-01J1650Sanofi-AventisInj enoxaparin sodium10 MG313030
0548-5601-00J1650Amphastar Pharmaceuticals, Inc.Inj enoxaparin sodium10 MG0.310330
0548-5602-00J1650Amphastar Pharmaceuticals, Inc.Inj enoxaparin sodium10 MG0.410440
0548-5603-00J1650Amphastar Pharmaceuticals, Inc.Inj enoxaparin sodium10 MG0.610660
0548-5604-00J1650Amphastar Pharmaceuticals, Inc.Inj enoxaparin sodium10 MG0.810880
0548-5605-00J1650Amphastar Pharmaceuticals, Inc.Inj enoxaparin sodium10 MG11010100
0548-5606-00J1650Amphastar Pharmaceuticals, Inc.Inj enoxaparin sodium10 MG0.81012120
0548-5607-00J1650Amphastar Pharmaceuticals, Inc.Inj enoxaparin sodium10 MG11015150
0548-5631-00J1650Amphastar Pharmaceuticals, Inc.Inj enoxaparin sodium10 MG0.310330
0548-5632-00J1650Amphastar Pharmaceuticals, Inc.Inj enoxaparin sodium10 MG0.410440
0548-5633-00J1650Amphastar Pharmaceuticals, Inc.Inj enoxaparin sodium10 MG0.610660
0548-5634-00J1650Amphastar Pharmaceuticals, Inc.Inj enoxaparin sodium10 MG0.810880
0548-5635-00J1650Amphastar Pharmaceuticals, Inc.Inj enoxaparin sodium10 MG11010100
0548-5636-00J1650Amphastar Pharmaceuticals, Inc.Inj enoxaparin sodium10 MG0.81012120
0548-5637-00J1650Amphastar Pharmaceuticals, Inc.Inj enoxaparin sodium10 MG11015150
0703-8510-23J1650Sicor Pharmaceuticals, Inc.Inj enoxaparin sodium10 MG11015150
0703-8530-23J1650Sicor Pharmaceuticals, Inc.Inj enoxaparin sodium10 MG0.310330
0703-8540-23J1650Sicor Pharmaceuticals, Inc.Inj enoxaparin sodium10 MG0.410440
0703-8560-23J1650Sicor Pharmaceuticals, Inc.Inj enoxaparin sodium10 MG0.610660
0703-8580-23J1650Sicor Pharmaceuticals, Inc.Inj enoxaparin sodium10 MG11010100
0703-8610-23J1650Sicor Pharmaceuticals, Inc.Inj enoxaparin sodium10 MG0.81012120
0703-8680-23J1650Sicor Pharmaceuticals, Inc.Inj enoxaparin sodium10 MG0.810880
0781-3133-63J1650Sandoz, Inc.Inj enoxaparin sodium10 MG0.310330
0781-3224-64J1650Sandoz, Inc.Inj enoxaparin sodium10 MG0.410440
0781-3356-66J1650Sandoz, Inc.Inj enoxaparin sodium10 MG0.610660
0781-3428-68J1650Sandoz, Inc.Inj enoxaparin sodium10 MG0.810880
0781-3500-69J1650Sandoz, Inc.Inj enoxaparin sodium10 MG11010100
0781-3612-68J1650Sandoz, Inc.Inj enoxaparin sodium10 MG0.81012120
0781-3655-69J1650Sandoz, Inc.Inj enoxaparin sodium10 MG11015150
0955-1003-10J1650Sanofi-AventisInj enoxaparin sodium10 MG0.310330
0955-1004-10J1650Sanofi-AventisInj enoxaparin sodium10 MG0.410440
0955-1006-10J1650Sanofi-AventisInj enoxaparin sodium10 MG0.610660
0955-1008-10J1650Sanofi-AventisInj enoxaparin sodium10 MG0.810880
0955-1010-10J1650Sanofi-AventisInj enoxaparin sodium10 MG11010100
0955-1012-10J1650Sanofi-AventisInj enoxaparin sodium10 MG0.81012120
0955-1015-10J1650Sanofi-AventisInj enoxaparin sodium10 MG11015150
0955-1016-01J1650Sanofi-AventisInj enoxaparin sodium10 MG313030
63323-565-86J1650Fresenius Kabi USA LLCInj enoxaparin sodium10 MG313030
63323-565-93J1650Fresenius Kabi USA LLCInj enoxaparin sodium10 MG313030
63323-568-83J1650Fresenius Kabi USA LLCInj enoxaparin sodium10 MG0.310330
63323-568-84J1650Fresenius Kabi USA LLCInj enoxaparin sodium10 MG11010100
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