NDC - HCPCS Crosswalk

Effective January 1, 2019 through March 31, 2019

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
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
67457-397-99J2780MYLAN INSTITUTIONAL LLCRanitidine hydrochloride inj25 MG210220
67457-398-62J2780MYLAN INSTITUTIONAL LLCRanitidine 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
70504-3000-2J2792Aptevo BioTherapeutics, LLC.Rho(d) immune globulin h, sd100 IU131150150
70504-3100-2J2792Aptevo BioTherapeutics, LLC.Rho(d) immune globulin h, sd100 IU4.415050
70504-3300-2J2792Aptevo BioTherapeutics, LLC.Rho(d) immune globulin h, sd100 IU1.311515
70504-3500-2J2792Aptevo BioTherapeutics, LLC.Rho(d) immune globulin h, sd100 IU2.212525
50458-306-11J2794Janssen Pharmaceuticals, Inc.Risperidone, long acting0.5 MG115050
50458-307-11J2794Janssen Pharmaceuticals, Inc.Risperidone, long acting0.5 MG117575
50458-308-11J2794Janssen Pharmaceuticals, Inc.Risperidone, long acting0.5 MG11100100
50458-309-11J2794Janssen Pharmaceuticals, Inc.Risperidone, long acting0.5 MG112525
0409-9300-10J2795Pfizer Inc.Ropivacaine hcl injection1 MG101020200
0409-9300-20J2795Pfizer Inc.Ropivacaine hcl injection1 MG201040400
0409-9301-30J2795Pfizer Inc.Ropivacaine hcl injection1 MG30101501500
0409-9302-20J2795Pfizer Inc.Ropivacaine hcl injection1 MG20101501500
0409-9303-10J2795Pfizer Inc.Ropivacaine hcl injection1 MG10101001000
0409-9303-20J2795Pfizer Inc.Ropivacaine hcl injection1 MG20102002000
25021-652-30J2795Mylan InstitutionalRopivacaine hcl injection1 MG301150150
25021-653-20J2795Mylan InstitutionalRopivacaine hcl injection1 MG2052001000
25021-671-20J2795Mylan InstitutionalRopivacaine hcl injection1 MG20540200
55150-195-20J2795AUROMEDICS PHARMA, LLCRopivacaine hcl injection1 MG2025401000
55150-196-99J2795AUROMEDICS PHARMA, LLCRopivacaine hcl injection1 MG1001200200
55150-197-20J2795AUROMEDICS PHARMA, LLCRopivacaine hcl injection1 MG20251002500
55150-198-30J2795AUROMEDICS PHARMA, LLCRopivacaine hcl injection1 MG30251503750
55150-199-20J2795AUROMEDICS PHARMA, LLCRopivacaine hcl injection1 MG20251503750
55150-201-20J2795AUROMEDICS PHARMA, LLCRopivacaine hcl injection1 MG20252005000
63323-285-10J2795Fresenius Kabi USA LLCRopivacaine hcl injection1 MG10520100
63323-285-13J2795Fresenius Kabi USA LLCRopivacaine hcl injection1 MG102520500
63323-285-20J2795Fresenius Kabi USA LLCRopivacaine hcl injection1 MG20540200
63323-285-23J2795Fresenius Kabi USA LLCRopivacaine hcl injection1 MG2025401000
63323-285-28J2795Fresenius Kabi USA LLCRopivacaine hcl injection1 MG2025401000
63323-285-61J2795Fresenius Kabi USA LLCRopivacaine hcl injection1 MG100242004800
63323-285-63J2795Fresenius Kabi USA LLCRopivacaine hcl injection1 MG200244009600
63323-285-64J2795Fresenius Kabi USA LLCRopivacaine hcl injection1 MG2001400400
63323-285-65J2795Fresenius Kabi USA LLCRopivacaine hcl injection1 MG1001200200
63323-285-67J2795Fresenius Kabi USA LLCRopivacaine hcl injection1 MG1001200200
63323-285-68J2795Fresenius Kabi USA LLCRopivacaine hcl injection1 MG1001200200
Page 35