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
0409-2305-50J2250Pfizer Inc.Inj midazolam hydrochloride1 MG510550
0409-2306-12J2250Pfizer Inc.Inj midazolam hydrochloride1 MG210220
0409-2306-62J2250Pfizer Inc.Inj midazolam hydrochloride1 MG210220
0409-2307-60J2250Pfizer Inc.Inj midazolam hydrochloride1 MG110550
0409-2308-01J2250Pfizer Inc.Inj midazolam hydrochloride1 MG110550
0409-2308-02J2250Pfizer Inc.Inj midazolam hydrochloride1 MG21010100
0409-2308-49J2250Pfizer Inc.Inj midazolam hydrochloride1 MG110550
0409-2308-50J2250Pfizer Inc.Inj midazolam hydrochloride1 MG21010100
0409-2587-05J2250Pfizer Inc.Inj midazolam hydrochloride1 MG101010100
0409-2596-03J2250Pfizer Inc.Inj midazolam hydrochloride1 MG51025250
0409-2596-05J2250Pfizer Inc.Inj midazolam hydrochloride1 MG101050500
0409-2596-52J2250Pfizer Inc.Inj midazolam hydrochloride1 MG51025250
0409-2596-53J2250Pfizer Inc.Inj midazolam hydrochloride1 MG101050500
0641-6056-10J2250West-Ward Pharmaceuticals CorpInj midazolam hydrochloride1 MG101010100
0641-6057-10J2250West-Ward Pharmaceuticals CorpInj midazolam hydrochloride1 MG210220
0641-6057-25J2250West-Ward Pharmaceuticals CorpInj midazolam hydrochloride1 MG225250
0641-6059-10J2250West-Ward Pharmaceuticals CorpInj midazolam hydrochloride1 MG510550
0641-6060-10J2250West-Ward Pharmaceuticals CorpInj midazolam hydrochloride1 MG101050500
0641-6061-10J2250West-Ward Pharmaceuticals CorpInj midazolam hydrochloride1 MG110550
0641-6061-25J2250West-Ward Pharmaceuticals CorpInj midazolam hydrochloride1 MG1255125
0641-6063-10J2250West-Ward Pharmaceuticals CorpInj midazolam hydrochloride1 MG21010100
0641-6063-25J2250West-Ward Pharmaceuticals CorpInj midazolam hydrochloride1 MG22510250
0641-6190-10J2250West-Ward Pharmaceuticals CorpInj midazolam hydrochloride1 MG101050500
0641-6209-25J2250West-Ward Pharmaceuticals CorpInj midazolam hydrochloride1 MG225250
0641-6210-10J2250West-Ward Pharmaceuticals CorpInj midazolam hydrochloride1 MG510550
0641-6211-10J2250West-Ward Pharmaceuticals CorpInj midazolam hydrochloride1 MG101050500
17478-524-02J2250AkornInj midazolam hydrochloride1 MG21010100
17478-524-10J2250AkornInj midazolam hydrochloride1 MG101050500
23155-600-41J2250Heritage Pharmaceuticals, Inc.Inj midazolam hydrochloride1 MG225250
23155-601-41J2250Heritage Pharmaceuticals, Inc.Inj midazolam hydrochloride1 MG51025250
23155-601-42J2250Heritage Pharmaceuticals, Inc.Inj midazolam hydrochloride1 MG101050500
47781-588-68J2250Alvogen, Inc.Inj midazolam hydrochloride1 MG225250
47781-589-17J2250Alvogen, Inc.Inj midazolam hydrochloride1 MG51025250
47781-589-91J2250Alvogen, Inc.Inj midazolam hydrochloride1 MG101050500
63323-411-10J2250Fresenius Kabi USA LLCInj midazolam hydrochloride1 MG101010100
63323-411-12J2250Fresenius Kabi USA LLCInj midazolam hydrochloride1 MG225250
63323-411-25J2250Fresenius Kabi USA LLCInj midazolam hydrochloride1 MG5255125
63323-412-02J2250Fresenius Kabi USA LLCInj midazolam hydrochloride1 MG21010100
63323-412-05J2250Fresenius Kabi USA LLCInj midazolam hydrochloride1 MG51025250
63323-412-10J2250Fresenius Kabi USA LLCInj midazolam hydrochloride1 MG101050500
63323-412-25J2250Fresenius Kabi USA LLCInj midazolam hydrochloride1 MG1255125
70860-600-02J2250Athenex Pharmaceutical Division, LLC.Inj midazolam hydrochloride1 MG225250
70860-601-05J2250Athenex Pharmaceutical Division, LLC.Inj midazolam hydrochloride1 MG51025250
70860-601-10J2250Athenex Pharmaceutical Division, LLC.Inj midazolam hydrochloride1 MG101050500
76045-001-20J2250Fresenius Kabi USA LLCInj midazolam hydrochloride1 MG224248
76045-002-10J2250Fresenius Kabi USA LLCInj midazolam hydrochloride1 MG1245120
76045-003-20J2250Fresenius Kabi USA LLCInj midazolam hydrochloride1 MG22410240
0338-6010-48J2260Baxter Healthcare CorporationInj milrinone lactate / 5 mg5 MG100144
0338-6011-37J2260Baxter Healthcare CorporationInj milrinone lactate / 5 mg5 MG200188
0409-0212-01J2260Pfizer Inc.Inj milrinone lactate / 5 mg5 MG1010220
0409-0212-02J2260Pfizer Inc.Inj milrinone lactate / 5 mg5 MG2010440
0409-0212-03J2260Pfizer Inc.Inj milrinone lactate / 5 mg5 MG5011010
63323-617-10J2260Fresenius Kabi USA LLCInj milrinone lactate / 5 mg5 MG1010220
63323-617-20J2260Fresenius Kabi USA LLCInj milrinone lactate / 5 mg5 MG2010440
63323-617-50J2260Fresenius Kabi USA LLCInj milrinone lactate / 5 mg5 MG5011010
0409-1134-03J2270Pfizer Inc.Morphine sulfate injection10 MG201100100
0409-1134-05J2270Pfizer Inc.Morphine sulfate injection10 MG501250250
0409-1135-02J2270Pfizer Inc.Morphine sulfate injection10 MG1012525
0409-1890-01J2270Pfizer Inc.Morphine sulfate injection10 MG1100.22
0409-1890-11J2270Pfizer Inc.Morphine sulfate injection10 MG1100.22
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