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
55111-679-10J1652Dr. Reddy's Laboratories, Inc.Fondaparinux sodium0.5 MG0.41010100
55111-680-02J1652Dr. Reddy's Laboratories, Inc.Fondaparinux sodium0.5 MG0.621530
55111-680-10J1652Dr. Reddy's Laboratories, Inc.Fondaparinux sodium0.5 MG0.61015150
55111-681-02J1652Dr. Reddy's Laboratories, Inc.Fondaparinux sodium0.5 MG0.822040
55111-681-10J1652Dr. Reddy's Laboratories, Inc.Fondaparinux sodium0.5 MG0.81020200
55150-230-10J1652AUROMEDICS PHARMA, LLCFondaparinux sodium0.5 MG0.510550
55150-231-10J1652AUROMEDICS PHARMA, LLCFondaparinux sodium0.5 MG0.41010100
55150-232-10J1652AUROMEDICS PHARMA, LLCFondaparinux sodium0.5 MG0.61015150
55150-233-10J1652AUROMEDICS PHARMA, LLCFondaparinux sodium0.5 MG0.81020200
67457-582-10J1652Mylan InstitutionalFondaparinux sodium0.5 MG0.510550
67457-583-04J1652Mylan InstitutionalFondaparinux sodium0.5 MG0.41010100
67457-584-06J1652Mylan InstitutionalFondaparinux sodium0.5 MG0.61015150
67457-585-08J1652Mylan InstitutionalFondaparinux sodium0.5 MG0.81020200
67457-592-10J1652Mylan InstitutionalFondaparinux sodium0.5 MG0.510550
67457-593-04J1652Mylan InstitutionalFondaparinux sodium0.5 MG0.41010100
67457-594-06J1652Mylan InstitutionalFondaparinux sodium0.5 MG0.61015150
67457-595-08J1652Mylan InstitutionalFondaparinux sodium0.5 MG0.81020200
67457-693-10J1652Mylan InstitutionalFondaparinux sodium0.5 MG0.510550
67457-694-10J1652Mylan InstitutionalFondaparinux sodium0.5 MG0.41010100
67457-695-10J1652Mylan InstitutionalFondaparinux sodium0.5 MG0.61015150
13533-634-02J1670Grifols USA, LLC.Tetanus immune globulin inj250 UNITS1111
0009-0005-01J1720Pfizer Inc.Hydrocortisone sodium succ i100 MG111010
0009-0011-04J1720Pfizer Inc.Hydrocortisone sodium succ i100 MG125125
0009-0013-05J1720Pfizer Inc.Hydrocortisone sodium succ i100 MG112.52.5
0009-0013-06J1720Pfizer Inc.Hydrocortisone sodium succ i100 MG1252.562.5
0009-0016-12J1720Pfizer Inc.Hydrocortisone sodium succ i100 MG1155
0009-0825-01J1720Pfizer Inc.Hydrocortisone sodium succ i100 MG1111
0004-0191-09J1740Genentech, Inc.Ibandronate sodium injection1 MG3133
25021-827-61J1740Sagent Pharmaceuticals IncIbandronate sodium injection1 MG3133
55150-191-83J1740AuroMedics Pharma LLCIbandronate sodium injection1 MG3133
67457-524-33J1740Mylan InstitutionalIbandronate sodium injection1 MG3133
0009-3794-01J1742Pfizer Inc.Ibutilide fumarate injection1 MG10111
0009-3794-22J1742Pfizer Inc.Ibutilide fumarate injection1 MG10111
67457-366-10J1742Mylan InstitutionalIbutilide fumarate injection1 MG10111
54092-700-01J1743Shire US, Inc.Idursulfase injection1 MG3166
57894-030-01J1745Janssen Biotech, Inc.Infliximab not biosimil 10mg10 MG111010
52544-931-02J1750Watson PharmaceuticalsInj iron dextran50 MG210220
0517-2310-05J1756American RegentIron sucrose injection1 MG1052001000
0517-2325-10J1756American RegentIron sucrose injection1 MG2.51050500
0517-2340-10J1756American RegentIron sucrose injection1 MG5101001000
0517-2340-25J1756American RegentIron sucrose injection1 MG5251002500
0517-2340-99J1756American RegentIron sucrose injection1 MG5101001000
49230-530-10J1756Fresenius Medical CareIron sucrose injection1 MG2.51050500
49230-530-25J1756Fresenius Medical CareIron sucrose injection1 MG2.525501250
49230-534-10J1756Fresenius Medical CareIron sucrose injection1 MG5101001000
49230-534-25J1756Fresenius Medical CareIron sucrose injection1 MG5251002500
58468-4663-1J1786Genzyme CorporationImuglucerase injection10 UNITS114040
0143-9872-10J1800WEST-WARD PHARMACEUTICAL CORP.Propranolol injection1 MG110110
63323-604-01J1800Fresenius Kabi USA LLCPropranolol injection1 MG110110
0002-7510-01J1815Eli Lilly and CompanyInsulin injection5 UNITS101200200
0002-7510-17J1815Eli Lilly and CompanyInsulin injection5 UNITS316060
0002-7511-01J1815Eli Lilly and CompanyInsulin injection5 UNITS101200200
0002-7512-01J1815Eli Lilly and CompanyInsulin injection5 UNITS101200200
0002-7516-59J1815Eli Lilly and CompanyInsulin injection5 UNITS3560300
0002-7712-27J1815Eli Lilly and CompanyInsulin injection5 UNITS32120240
0002-7714-59J1815LILLYInsulin injection5 UNITS3560300
0002-8215-01J1815Eli Lilly and CompanyInsulin injection5 UNITS101200200
0002-8215-17J1815Eli Lilly and CompanyInsulin injection5 UNITS316060
0002-8315-01J1815Eli Lilly and CompanyInsulin injection5 UNITS101200200
0002-8315-17J1815Eli Lilly and CompanyInsulin injection5 UNITS316060
Page 23