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
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
52118-001-01J3095Theravance Biopharma, Inc.Telavancin injection10 MG117575
52118-002-01J3095Theravance, Inc.Telavancin injection10 MG112525
62847-001-01J3095Theravance BioPharma, Inc.Telavancin injection10 MG117575
50242-120-01J3101Genentech, Inc.Tenecteplase injection1 MG115050
0143-9746-10J3105West-Ward Pharmaceuticals CorpTerbutaline sulfate inj1 MG110110
63323-665-01J3105Fresenius Kabi USA LLCTerbutaline sulfate inj1 MG125125
70860-801-01J3105Athenex Pharmaceutical Division, LLC.Terbutaline sulfate inj1 MG110110
0143-9750-01J3121West-Ward Pharmaceuticals CorpInj testostero enanthate 1mg1 MG5110001000
0591-3221-26J3121Actavis Pharma, Inc.Inj testostero enanthate 1mg1 MG5110001000
67979-511-43J3145Endo Pharmaceutical Solutions Inc.Testosterone undecanoate 1mg1 MG31750750
0641-1397-35J3230West-Ward Pharmaceuticals CorpChlorpromazine hcl injection50 MG1250.512.5
0641-1398-35J3230West-Ward Pharmaceuticals CorpChlorpromazine hcl injection50 MG225125
58468-0030-2J3240Genzyme CorporationThyrotropin injection0.9 MG1212
0008-4990-02J3243Pfizer Inc.Tigecycline injection1 MG11050500
0008-4990-20J3243Pfizer Inc.Tigecycline injection1 MG11050500
0008-4994-20J3243Pfizer Inc.Tigecycline injection1 MG11050500
0781-3481-92J3243Sandoz, Inc.Tigecycline injection1 MG11050500
63323-960-10J3243Fresenius Kabi USA LLCTigecycline injection1 MG11050500
42023-118-01J3250Par Pharmaceutical, IncTrimethobenzamide hcl inj200 MG2011010
42023-119-25J3250Par Pharmaceutical, IncTrimethobenzamide hcl inj200 MG225125
0409-3578-01J3260Pfizer Inc.Tobramycin sulfate injection80 MG225125
17478-114-02J3260AkornTobramycin sulfate injection80 MG225125
17478-114-30J3260AkornTobramycin sulfate injection80 MG301015150
39822-0409-6J3260X-Gen Pharmaceuticals, Inc.Tobramycin sulfate injection80 MG161590
39822-0412-1J3260X-Gen Pharmaceuticals, Inc.Tobramycin sulfate injection80 MG111515
39822-0412-6J3260X-Gen Pharmaceuticals, Inc.Tobramycin sulfate injection80 MG161590
63323-303-51J3260Fresenius Kabi USA LLCTobramycin sulfate injection80 MG161590
63323-303-55J3260Fresenius Kabi USA LLCTobramycin sulfate injection80 MG161590
63323-305-02J3260Fresenius Kabi USA LLCTobramycin sulfate injection80 MG2250.256.25
63323-306-02J3260Fresenius Kabi USA LLCTobramycin sulfate injection80 MG225125
63323-306-30J3260Fresenius Kabi USA LLCTobramycin sulfate injection80 MG301015150
63323-307-51J3260Fresenius Kabi USA LLCTobramycin sulfate injection80 MG5012525
67457-428-30J3260Mylan InstitutionalTobramycin sulfate injection80 MG301015150
67457-473-22J3260Mylan InstitutionalTobramycin sulfate injection80 MG225125
50242-135-01J3262Genentech, Inc.Tocilizumab injection1 MG8018080
50242-136-01J3262Genentech, Inc.Tocilizumab injection1 MG2001200200
50242-137-01J3262Genentech, Inc.Tocilizumab injection1 MG4001400400
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