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
70860-701-02J1885Athenex Pharmaceutical Division, LLC.Ketorolac tromethamine inj15 MG210440
70860-701-03J1885ATHENEX PHARMACEUTICALKetorolac tromethamine inj15 MG125250
70860-701-04J1885ATHENEX PHARMACEUTICALKetorolac tromethamine inj15 MG2254100
76045-104-10J1885Fresenius Kabi USA LLCKetorolac tromethamine inj15 MG124248
76045-105-20J1885Fresenius Kabi USA LLCKetorolac tromethamine inj15 MG224496
76045-107-10J1885Fresenius Kabi USA LLCKetorolac tromethamine inj15 MG124124
15054-1060-3J1930Ipsen Biopharmaceuticals, IncLanreotide injection1 MG0.216060
15054-1090-3J1930Ipsen Biopharmaceuticals, IncLanreotide injection1 MG0.319090
15054-1120-3J1930Ipsen Biopharmaceuticals, IncLanreotide injection1 MG0.51120120
58468-0070-1J1931Genzyme CorporationLaronidase injection0.1 MG512929
0409-1639-10J1940Pfizer Inc.Furosemide injection20 MG1010550
0409-9631-04J1940Pfizer Inc.Furosemide injection20 MG410220
23155-473-41J1940Heritage Pharmaceuticals, Inc.Furosemide injection20 MG225125
23155-473-42J1940Heritage Pharmaceuticals, Inc.Furosemide injection20 MG425250
23155-473-44J1940Heritage Pharmaceuticals, Inc.Furosemide injection20 MG10255125
23155-521-41J1940Heritage Pharmaceuticals, Inc.Furosemide injection20 MG225125
23155-521-42J1940Heritage Pharmaceuticals, Inc.Furosemide injection20 MG425250
23155-521-44J1940Heritage Pharmaceuticals, Inc.Furosemide injection20 MG10255125
36000-282-25J1940BaxterFurosemide injection20 MG225125
36000-283-25J1940BaxterFurosemide injection20 MG425250
36000-284-25J1940BaxterFurosemide injection20 MG10255125
63323-280-02J1940Fresenius Kabi USA LLCFurosemide injection20 MG225125
63323-280-04J1940Fresenius Kabi USA LLCFurosemide injection20 MG425250
63323-280-10J1940Fresenius Kabi USA LLCFurosemide injection20 MG10255125
63323-280-16J1940Fresenius Kabi USA LLCFurosemide injection20 MG225125
63323-280-26J1940Fresenius Kabi USA LLCFurosemide injection20 MG425250
63323-280-36J1940Fresenius Kabi USA LLCFurosemide injection20 MG10255125
70121-1076-5J1940AMNEAL BIOSCIENCESFurosemide injection20 MG10255125
70121-1163-5J1940Amneal BiosciencesFurosemide injection20 MG225125
70121-1164-5J1940Amneal BiosciencesFurosemide injection20 MG425250
65757-401-03J1942Alkermes, Inc.Aripiprazole lauroxil 1mg1 MG1.61441441
65757-402-03J1942Alkermes, Inc.Aripiprazole lauroxil 1mg1 MG2.41662662
65757-403-03J1942Alkermes, Inc.Aripiprazole lauroxil 1mg1 MG3.21882882
65757-404-03J1942Alkermes, Inc.Aripiprazole lauroxil 1mg1 MG3.9110641064
0074-2282-03J1950AbbVie US, LLCLeuprolide acetate /3.75 mg3.75 MG1133
0074-3641-03J1950AbbVie US, LLCLeuprolide acetate /3.75 mg3.75 MG1111
0074-3663-03J1950AbbVie US, LLCLeuprolide acetate /3.75 mg3.75 MG1133
0074-3779-03J1950AbbVie US, LLCLeuprolide acetate /3.75 mg3.75 MG1133
0074-9694-03J1950AbbVie US, LLCLeuprolide acetate /3.75 mg3.75 MG1188
0143-9574-10J1953West-Ward Pharmaceuticals CorpLevetiracetam injection10 MG51050500
0143-9574-25J1953West-Ward Pharmaceuticals CorpLevetiracetam injection10 MG525501250
0143-9673-10J1953West-Ward Pharmaceuticals CorpLevetiracetam injection10 MG51050500
0143-9673-25J1953West-Ward Pharmaceuticals CorpLevetiracetam injection10 MG525501250
0409-1886-02J1953Pfizer Inc.Levetiracetam injection10 MG525501250
0409-1886-05J1953HOSPIRALevetiracetam injection10 MG525501250
25021-780-05J1953Sagent Pharmaceuticals IncLevetiracetam injection10 MG51050500
39822-4000-1J1953X-Gen Pharmaceuticals, Inc.Levetiracetam injection10 MG51050500
43598-635-10J1953DR.REDDY'S LABORATORIES, INC.Levetiracetam injection10 MG1001050500
43598-636-10J1953DR.REDDY'S LABORATORIES, INC.Levetiracetam injection10 MG100101001000
43598-637-10J1953DR.REDDY'S LABORATORIES, INC.Levetiracetam injection10 MG100101501500
50474-002-63J1953UCB, Inc.Levetiracetam injection10 MG51050500
55150-177-05J1953AUROMEDICS PHARMALevetiracetam injection10 MG51050500
63323-400-05J1953Fresenius Kabi USA LLCLevetiracetam injection10 MG51050500
63323-400-09J1953Fresenius Kabi USA LLCLevetiracetam injection10 MG51050500
67457-255-10J1953Mylan InstitutionalLevetiracetam injection10 MG1001050500
67457-265-10J1953Mylan InstitutionalLevetiracetam injection10 MG100101001000
67457-266-10J1953Mylan InstitutionalLevetiracetam injection10 MG100101501500
67457-790-05J1953Mylan InstitutionalLevetiracetam injection10 MG51050500
70860-602-82J1953 ATHENEX PHARMACEUTICAL DIVISION, LLevetiracetam injection10 MG1001050500
70860-603-82J1953 ATHENEX PHARMACEUTICAL DIVISION, LLevetiracetam injection10 MG100101001000
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