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
0591-2136-51J2704Actavis Pharma, Inc.Inj, propofol, 10 mg10 MG5020501000
0591-2136-68J2704Actavis Pharma, Inc.Inj, propofol, 10 mg10 MG100101001000
0591-2136-95J2704Actavis Pharma, Inc.Inj, propofol, 10 mg10 MG202520500
25021-608-20J2704Sagent Pharmaceuticals IncInj, propofol, 10 mg10 MG202520500
25021-608-50J2704Sagent Pharmaceuticals IncInj, propofol, 10 mg10 MG5020501000
25021-608-51J2704Sagent Pharmaceuticals IncInj, propofol, 10 mg10 MG100101001000
63323-269-10J2704Fresenius Kabi USA LLCInj, propofol, 10 mg10 MG101010100
63323-269-29J2704Fresenius Kabi USA LLCInj, propofol, 10 mg10 MG201020200
63323-269-37J2704Fresenius Kabi USA LLCInj, propofol, 10 mg10 MG201020200
63323-269-50J2704Fresenius Kabi USA LLCInj, propofol, 10 mg10 MG5020501000
63323-269-57J2704Fresenius Kabi USA LLCInj, propofol, 10 mg10 MG5020501000
63323-269-59J2704Fresenius Kabi USA LLCInj, propofol, 10 mg10 MG5020501000
63323-269-65J2704Fresenius Kabi USA LLCInj, propofol, 10 mg10 MG100101001000
63323-269-67J2704Fresenius Kabi USA LLCInj, propofol, 10 mg10 MG100101001000
63323-269-69J2704Fresenius Kabi USA LLCInj, propofol, 10 mg10 MG100101001000
63323-269-70J2704Fresenius Kabi USA LLCInj, propofol, 10 mg10 MG201020200
63323-269-77J2704Fresenius Kabi USA LLCInj, propofol, 10 mg10 MG5020501000
63323-269-78J2704Fresenius Kabi USA LLCInj, propofol, 10 mg10 MG100101001000
63323-269-94J2704Fresenius Kabi USA LLCInj, propofol, 10 mg10 MG201020200
63323-229-05J2720Fresenius Kabi USA LLCInj protamine sulfate/10 mg10 MG5255125
63323-229-15J2720Fresenius Kabi USA LLCInj protamine sulfate/10 mg10 MG5255125
63323-229-30J2720Fresenius Kabi USA LLCInj protamine sulfate/10 mg10 MG2512525
63323-229-35J2720Fresenius Kabi USA LLCInj protamine sulfate/10 mg10 MG2512525
63323-229-94J2720Fresenius Kabi USA LLCInj protamine sulfate/10 mg10 MG5255125
63323-229-95J2720Fresenius Kabi USA LLCInj protamine sulfate/10 mg10 MG2512525
0944-4177-05J2724Baxalta US Inc.Protein c concentrate10 UNITS110.10.1
0944-4179-10J2724Baxalta US Inc.Protein c concentrate10 UNITS110.10.1
0409-3414-01J2765Pfizer Inc.Metoclopramide hcl injection10 MG225125
0703-4502-04J2765Sicor Pharmaceuticals, Inc.Metoclopramide hcl injection10 MG225125
0703-4502-84J2765Sicor Pharmaceuticals, Inc.Metoclopramide hcl injection10 MG225125
0703-4502-94J2765Sicor Pharmaceuticals, Inc.Metoclopramide hcl injection10 MG225125
23155-240-41J2765Heritage Pharmaceuticals, Inc.Metoclopramide hcl injection10 MG225125
76045-101-20J2765Fresenius Kabi USA LLCMetoclopramide hcl injection10 MG224124
61570-260-10J2770Pfizer Inc.Quinupristin/dalfopristin500 MG110110
50242-080-01J2778Genentech, Inc.Ranibizumab injection0.1 mg0.05155
50242-080-02J2778Genentech, Inc.Ranibizumab injection0.1 mg0.05155
50242-080-03J2778Genentech, Inc.Ranibizumab injection0.1 mg0.05155
50242-082-01J2778Genentech, Inc.Ranibizumab injection0.1 mg0.05133
50242-082-02J2778Genentech, Inc.Ranibizumab injection0.1 mg0.05133
50242-082-03J2778Genentech, Inc.Ranibizumab injection0.1 MG0.05133
52565-096-01J2780TeligentRanitidine hydrochloride inj25 MG4014040
52565-102-01J2780TeligentRanitidine hydrochloride inj25 MG6166
68382-422-02J2780Zydus Pharmaceuticals USA IncRanitidine hydrochloride inj25 MG210220
68382-423-06J2780Zydus Pharmaceuticals USA IncRanitidine hydrochloride inj25 MG6166
0024-5150-10J2783Sanofi-AventisRasburicase0.5 MG1339
0024-5151-75J2783Sanofi-AventisRasburicase0.5 MG7.511515
0469-6501-89J2785Astellas Pharma US, Inc.Regadenoson injection0.1 MG5144
59310-610-31J2786Ivax Labs Inc.Injection, reslizumab, 1mg1mg101100100
0562-7806-01J2788Kedrion BioPharma, Inc.Rho d immune globulin 50 mcg50 MCG (250 IU)1111
0562-7806-05J2788Kedrion BioPharma, Inc.Rho d immune globulin 50 mcg50 MCG (250 IU)1515
0562-7806-25J2788Kedrion BioPharma, Inc.Rho d immune globulin 50 mcg50 MCG (250 IU)125125
13533-661-06J2788Grifols USA, LLC.Rho d immune globulin 50 mcg50 MCG110110
0562-7805-01J2790Kedrion BioPharma, Inc.Rho d immune globulin inj300 MCG (1500 IU)1111
0562-7805-05J2790Kedrion BioPharma, Inc.Rho d immune globulin inj300 MCG (1500 IU)1515
0562-7805-25J2790Kedrion BioPharma, Inc.Rho d immune globulin inj300 MCG (1500 IU)125125
13533-631-02J2790Grifols USA, LLC.Rho d immune globulin inj300 MCG (1500 IU)1111
13533-631-10J2790Grifols USA, LLC.Rho d immune globulin inj300 MCG (1500 IU)110110
13533-631-11J2790GRIFOLS USARho d immune globulin inj300 MCG (1500 IU)110110
44206-300-01J2791CSL BehringRhophylac injection100 UNITS211515
44206-300-10J2791CSL BehringRhophylac injection100 UNITS21015150
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