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
0641-6103-25J2800West-Ward Pharmaceuticals CorpMethocarbamol injection10 ML1025125
0641-6217-25J2800NOVAPLUS/WEST-WARDMethocarbamol injection10 ML1025125
25021-675-10J2800SAGENT PHARMACEUTICALMethocarbamol injection10 ML1025125
55150-223-10J2800AUROMEDICS PHARMA, LLCMethocarbamol injection10 ML1025125
67457-273-10J2800Mylan InstitutionalMethocarbamol injection10 ML1025125
70655-071-25J2800Renaissance SSA, LLC Methocarbamol injection10 ML1025125
0270-0556-15J2805Bracco DiagnosticsSincalide injection5 MCG110110
0264-9554-10J2810B. Braun Medical Inc.Inj theophylline per 40 mg40 MG5002410240
0024-5843-05J2820Sanofi-AventisSargramostim injection50 MCG15525
0024-2792-10J2916Sanofi-AventisNa ferric gluconate complex12.5 MG510550
0024-2794-10J2916Sanofi-AventisNa ferric gluconate complex12.5 MG510550
0143-9298-10J2916WEST-WARD PHARMACEUTICAL CORP.Na ferric gluconate complex12.5 MG510550
0143-9570-10J2916West-Ward Pharmaceuticals CorpNa ferric gluconate complex12.5 MG510550
0591-0149-87J2916Actavis Pharma, Inc.Na ferric gluconate complex12.5 MG510550
0591-2508-87J2916Actavis Pharma, Inc.Na ferric gluconate complex12.5 MG510550
0009-0039-28J2920Pfizer Inc.Methylprednisolone injection40 MG125125
0009-0039-32J2920Pfizer Inc.Methylprednisolone injection40 MG125125
25021-807-05J2920Sagent Pharmaceuticals IncMethylprednisolone injection40 MG110110
63323-255-03J2920Fresenius Kabi USA LLCMethylprednisolone injection40 MG325125
70121-1000-5J2920Amneal BiosciencesMethylprednisolone injection40 MG125125
0009-0003-02J2930Pfizer Inc.Methylprednisolone injection125 MG1144
0009-0018-20J2930Pfizer Inc.Methylprednisolone injection125 MG1188
0009-0047-22J2930Pfizer Inc.Methylprednisolone injection125 MG125125
0009-0047-26J2930Pfizer Inc.Methylprednisolone injection125 MG125125
0009-0698-01J2930Pfizer Inc.Methylprednisolone injection125 MG1188
0009-0758-01J2930Pfizer Inc.Methylprednisolone injection125 MG1144
0009-0796-01J2930Pfizer Inc.Methylprednisolone injection125 MG111616
25021-808-10J2930Sagent Pharmaceuticals IncMethylprednisolone injection125 MG110110
25021-810-30J2930Sagent Pharmaceuticals IncMethylprednisolone injection125 MG1188
63323-258-03J2930Fresenius Kabi USA LLCMethylprednisolone injection125 MG125125
63323-265-30J2930Fresenius Kabi USA LLCMethylprednisolone injection125 MG1188
70121-1001-5J2930Amneal BiosciencesMethylprednisolone injection125 MG125125
50242-041-64J2997Genentech, Inc.Alteplase recombinant1 MG1122
50242-044-13J2997Genentech, Inc.Alteplase recombinant1 MG115050
50242-085-27J2997Genentech, Inc.Alteplase recombinant1 MG11100100
39822-0706-2J3000X-Gen Pharmaceuticals, Inc.Streptomycin injection1 GM110110
0409-1276-32J3010Pfizer Inc.Fentanyl citrate injection0.1 MG210110
0409-9093-11J3010Pfizer Inc.Fentanyl citrate injection0.1 MG210110
0409-9093-32J3010Pfizer Inc.Fentanyl citrate injection0.1 MG210110
0409-9093-35J3010Pfizer Inc.Fentanyl citrate injection0.1 MG5102.525
0409-9094-11J3010Pfizer Inc.Fentanyl citrate injection0.1 MG225125
0409-9094-22J3010Pfizer Inc.Fentanyl citrate injection0.1 MG225125
0409-9094-25J3010Pfizer Inc.Fentanyl citrate injection0.1 MG5252.562.5
0409-9094-28J3010Pfizer Inc.Fentanyl citrate injection0.1 MG10255125
0409-9094-31J3010Pfizer Inc.Fentanyl citrate injection0.1 MG202510250
0409-9094-61J3010Pfizer Inc.Fentanyl citrate injection0.1 MG502525625
0641-6024-10J3010West-Ward Pharmaceuticals CorpFentanyl citrate injection0.1 MG210110
0641-6025-10J3010West-Ward Pharmaceuticals CorpFentanyl citrate injection0.1 MG5102.525
0641-6026-05J3010West-Ward Pharmaceuticals CorpFentanyl citrate injection0.1 MG2051050
0641-6027-25J3010West-Ward Pharmaceuticals CorpFentanyl citrate injection0.1 MG225125
0641-6028-25J3010West-Ward Pharmaceuticals CorpFentanyl citrate injection0.1 MG5252.562.5
0641-6029-25J3010West-Ward Pharmaceuticals CorpFentanyl citrate injection0.1 MG202510250
0641-6030-01J3010West-Ward Pharmaceuticals CorpFentanyl citrate injection0.1 MG5012525
17478-030-02J3010AkornFentanyl citrate injection0.1 MG210110
17478-030-05J3010AkornFentanyl citrate injection0.1 MG5102.525
17478-030-20J3010AkornFentanyl citrate injection0.1 MG2051050
17478-030-25J3010AkornFentanyl citrate injection0.1 MG225125
17478-030-55J3010AkornFentanyl citrate injection0.1 MG5252.562.5
0069-0106-01J3060Pfizer Inc.Inj, taliglucerase alfa 10 u10 units112020
67919-040-01J3090Cubist PharmaceuticalsInj tedizolid phosphate1 MG1102002000
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