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
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
0641-6042-25J1885West-Ward Pharmaceuticals CorpKetorolac tromethamine inj15 MG125250
0641-6043-25J1885West-Ward Pharmaceuticals CorpKetorolac tromethamine inj15 MG2254100
25021-700-01J1885Sagent Pharmaceuticals IncKetorolac tromethamine inj15 MG125125
25021-701-01J1885Sagent Pharmaceuticals IncKetorolac tromethamine inj15 MG125250
25021-701-02J1885Sagent Pharmaceuticals IncKetorolac tromethamine inj15 MG2254100
47781-583-68J1885Alvogen, Inc.Ketorolac tromethamine inj15 MG125125
47781-584-68J1885Alvogen, Inc.Ketorolac tromethamine inj15 MG125250
47781-585-68J1885Alvogen, Inc.Ketorolac tromethamine inj15 MG2254100
63323-161-01J1885Fresenius Kabi USA LLCKetorolac tromethamine inj15 MG125125
63323-161-12J1885Fresenius Kabi USA LLCKetorolac tromethamine inj15 MG125125
63323-161-16J1885Fresenius Kabi USA LLCKetorolac tromethamine inj15 MG125125
63323-162-01J1885Fresenius Kabi USA LLCKetorolac tromethamine inj15 MG125250
63323-162-02J1885Fresenius Kabi USA LLCKetorolac tromethamine inj15 MG2254100
63323-162-12J1885Fresenius Kabi USA LLCKetorolac tromethamine inj15 MG125250
63323-162-14J1885Fresenius Kabi USA LLCKetorolac tromethamine inj15 MG2254100
63323-162-16J1885Fresenius Kabi USA LLCKetorolac tromethamine inj15 MG125250
63323-162-26J1885Fresenius Kabi USA LLCKetorolac tromethamine inj15 MG2254100
70860-700-01J1885Athenex Pharmaceutical Division, LLC.Ketorolac tromethamine inj15 MG110110
70860-700-02J1885ATHENEX PHARMACEUTICALKetorolac tromethamine inj15 MG125125
70860-701-01J1885Athenex Pharmaceutical Division, LLC.Ketorolac tromethamine inj15 MG110220
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