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
54482-147-01J1955Leadiant Biosciences, Inc.Inj levocarnitine per 1 gm1 GM5515
0143-9720-24J1956West-Ward Pharmaceuticals CorpLevofloxacin injection250 MG15024372
0143-9721-24J1956West-Ward Pharmaceuticals CorpLevofloxacin injection250 MG10024248
17478-107-20J1956AkornLevofloxacin injection250 MG20122
17478-107-30J1956AkornLevofloxacin injection250 MG30133
23155-201-31J1956Heritage Pharmaceuticals, Inc.Levofloxacin injection250 MG20122
23155-201-32J1956Heritage Pharmaceuticals, Inc.Levofloxacin injection250 MG30133
25021-130-20J1956Mylan InstitutionalLevofloxacin injection250 MG20122
25021-132-66J1956Sagent Pharmaceuticals IncLevofloxacin injection250 MG5024124
25021-132-67J1956Sagent Pharmaceuticals IncLevofloxacin injection250 MG10024248
25021-132-68J1956Sagent Pharmaceuticals IncLevofloxacin injection250 MG15024372
25021-132-81J1956Sagent Pharmaceuticals IncLevofloxacin injection250 MG5024124
25021-132-82J1956Sagent Pharmaceuticals IncLevofloxacin injection250 MG10024248
25021-132-83J1956Sagent Pharmaceuticals IncLevofloxacin injection250 MG15024372
25021-825-81J1956Sagent Pharmaceuticals IncLevofloxacin injection250 MG5024124
25021-825-82J1956Sagent Pharmaceuticals IncLevofloxacin injection250 MG10024248
25021-825-83J1956Sagent Pharmaceuticals IncLevofloxacin injection250 MG15024372
36000-046-24J1956BaxterLevofloxacin injection250 MG50111
36000-047-24J1956BaxterLevofloxacin injection250 MG100122
36000-048-24J1956BaxterLevofloxacin injection250 MG150133
44567-435-24J1956WG Critical CareLevofloxacin injection250 MG5024124
44567-436-24J1956WG Critical CareLevofloxacin injection250 MG10024248
44567-437-24J1956WG Critical CareLevofloxacin injection250 MG15024372
55150-156-20J1956AuroMedics Pharma LLCLevofloxacin injection250 MG20122
55150-157-30J1956AuroMedics Pharma LLCLevofloxacin injection250 MG30133
63323-355-50J1956Fresenius Kabi USA LLCLevofloxacin injection250 MG5024124
63323-355-60J1956Fresenius Kabi USA LLCLevofloxacin injection250 MG15024348
63323-355-65J1956Fresenius Kabi USA LLCLevofloxacin injection250 MG10024272
0037-9001-05J1980Mylan Specialty, L.P.Hyoscyamine sulfate inj0.25 MG15210
0264-9594-10J2001B. Braun Medical Inc.Lidocaine injection10 MG500242004800
0264-9594-20J2001B. Braun Medical Inc.Lidocaine injection10 MG250241002400
0264-9598-20J2001B. Braun Medical Inc.Lidocaine injection10 MG250242004800
0338-0409-03J2001Baxter Healthcare CorporationLidocaine injection10 MG5001200200
0338-0411-02J2001Baxter Healthcare CorporationLidocaine injection10 MG2501200200
0338-9586-24J2001Baxter Healthcare CorporationLidocaine injection10 MG500242004800
0338-9590-30J2001Baxter Healthcare CorporationLidocaine injection10 MG250301003000
0009-0555-01J2010Pfizer Inc.Lincomycin injection300 MG2122
0009-0555-02J2010Pfizer Inc.Lincomycin injection300 MG1011010
39822-0350-2J2010X-Gen Pharmaceuticals, Inc.Lincomycin injection300 MG210220
39822-0353-6J2010X-Gen Pharmaceuticals, Inc.Lincomycin injection300 MG101010100
0009-4992-02J2020Pfizer Inc.Linezolid injection200 MG30010330
0009-5137-04J2020Pfizer Inc.Linezolid injection200 MG10010110
0009-5140-04J2020Pfizer Inc.Linezolid injection200 MG30010330
0009-7807-02J2020Pfizer Inc.Linezolid injection200 MG30010330
0409-4883-01J2020Pfizer Inc.Linezolid injection200 MG30010330
0781-3433-95J2020Sandoz, Inc.Linezolid injection200 MG30010330
57664-683-57J2020Caraco Pharmaceutical Laboratories Ltd.Linezolid injection200 MG30010330
63323-713-13J2020Fresenius Kabi USA LLCLinezolid injection200 MG30010330
0409-1539-31J2060Pfizer Inc.Lorazepam injection2 MG110220
0409-1985-30J2060Pfizer Inc.Lorazepam injection2 MG110110
0409-6778-02J2060Pfizer Inc.Lorazepam injection2 MG110110
0409-6778-05J2060Pfizer Inc.Lorazepam injection2 MG110110
0409-6779-02J2060Pfizer Inc.Lorazepam injection2 MG110220
0409-6780-02J2060Pfizer Inc.Lorazepam injection2 MG101010100
0641-6000-10J2060West-Ward Pharmaceuticals CorpLorazepam injection2 MG101010100
0641-6001-25J2060West-Ward Pharmaceuticals CorpLorazepam injection2 MG125125
0641-6002-10J2060West-Ward Pharmaceuticals CorpLorazepam injection2 MG101020200
0641-6003-25J2060West-Ward Pharmaceuticals CorpLorazepam injection2 MG125250
0641-6044-25J2060West-Ward Pharmaceuticals CorpLorazepam injection2 MG125125
0641-6045-25J2060West-Ward Pharmaceuticals CorpLorazepam injection2 MG125250
Page 26