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
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
0002-8501-01J1815Eli Lilly and CompanyInsulin injection5 UNITS20120002000
0002-8715-01J1815Eli Lilly and CompanyInsulin injection5 UNITS101200200
0002-8715-17J1815Eli Lilly and CompanyInsulin injection5 UNITS316060
0002-8797-59J1815Eli Lilly and CompanyInsulin injection5 UNITS3560300
0002-8798-59J1815Eli Lilly and CompanyInsulin injection5 UNITS3560300
0002-8799-59J1815Eli Lilly and CompanyInsulin injection5 UNITS3560300
0002-8803-59J1815Eli Lilly and CompanyInsulin injection5 UNITS3560300
0002-8805-59J1815Eli Lilly and CompanyInsulin injection5 UNITS3560300
0002-8824-27J1815LILLY USA, LLC.Insulin injection5 UNITS32300600
0169-1833-02J1815Novo Nordisk? Inc.Insulin injection5 UNITS101200200
0169-1833-11J1815Novo Nordisk? Inc.'Insulin injection5 UNITS101200200
0169-1834-02J1815Novo Nordisk? Inc.Insulin injection5 UNITS101200200
0169-1834-11J1815Novo Nordisk? Inc.Insulin injection5 UNITS101200200
0169-1837-02J1815Novo Nordisk? Inc.Insulin injection5 UNITS101200200
0169-1837-11J1815Novo Nordisk? Inc.Insulin injection5 UNITS101200200
0169-3201-11J1815NOVO NORDISK, INC.Insulin injection5 UNITS101200200
0169-3303-12J1815Novo Nordisk? Inc.Insulin injection5 UNITS3560300
0169-3685-12J1815Novo Nordisk? Inc.Insulin injection5 UNITS101200200
0169-3696-19J1815Novo Nordisk? Inc.Insulin injection5 UNITS3560300
0169-6339-10J1815Novo Nordisk? Inc.Insulin injection5 UNITS3560300
0169-7501-11J1815Novo Nordisk? Inc.Insulin injection5 UNITS101200200
0002-7510-01J1817Eli Lilly and CompanyInsulin for insulin pump use50 UNITS1012020
0002-7510-17J1817Eli Lilly and CompanyInsulin for insulin pump use50 UNITS3166
0002-7516-59J1817Eli Lilly and CompanyInsulin for insulin pump use50 UNITS35630
0002-8215-01J1817Eli Lilly and CompanyInsulin for insulin pump use50 UNITS1012020
0002-8215-17J1817Eli Lilly and CompanyInsulin for insulin pump use50 UNITS3166
0002-8501-01J1817Eli Lilly and CompanyInsulin for insulin pump use50 UNITS201200200
0002-8799-59J1817Eli Lilly and CompanyInsulin for insulin pump use50 UNITS35630
0169-1833-02J1817Novo Nordisk? Inc.Insulin for insulin pump use50 UNITS1012020
0169-1833-11J1817Novo Nordisk? Inc.'Insulin for insulin pump use50 UNITS1012020
0169-3303-12J1817Novo Nordisk? Inc.Insulin for insulin pump use50 UNITS35630
0169-6339-10J1817Novo Nordisk? Inc.Insulin for insulin pump use50 UNITS35630
0169-7501-11J1817Novo Nordisk? Inc.Insulin for insulin pump use50 UNITS1012020
0409-2287-23J1885HOSPIRA, INCKetorolac tromethamine inj15 MG110220
0409-2287-31J1885Pfizer Inc.Ketorolac tromethamine inj15 MG110220
0409-2287-61J1885Pfizer Inc.Ketorolac tromethamine inj15 MG210440
0409-3793-01J1885Pfizer Inc.Ketorolac tromethamine inj15 MG125125
0409-3795-01J1885Pfizer Inc.Ketorolac tromethamine inj15 MG125250
0409-3796-01J1885Pfizer Inc.Ketorolac tromethamine inj15 MG2254100
0641-6041-25J1885West-Ward Pharmaceuticals CorpKetorolac tromethamine inj15 MG125125
Page 24