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
0517-0130-05J3420American RegentVitamin b12 injection1000 MCG30530150
63323-044-01J3420Fresenius Kabi USA LLCVitamin b12 injection1000 MCG125125
67457-399-25J3420Mylan InstitutionalVitamin b12 injection1000 MCG102510250
67457-400-05J3420Mylan InstitutionalVitamin b12 injection1000 MCG30530150
0409-9157-01J3430Pfizer Inc.Vitamin k phytonadione inj1 MG0.525125
0409-9157-25J3430Pfizer Inc.Vitamin k phytonadione inj1 MG0.525125
0409-9158-01J3430Pfizer Inc.Vitamin k phytonadione inj1 MG12510250
0409-9158-25J3430Pfizer Inc.Vitamin k phytonadione inj1 MG12510250
0049-3190-01J3465Pfizer Inc.Injection, voriconazole10 MG112020
0049-3190-28J3465Pfizer Inc.Injection, voriconazole10 MG112020
0049-3190-38J3465Pfizer Inc.Injection, voriconazole10 MG112020
0049-4190-01J3465Pfizer Inc.Injection, voriconazole10 MG112020
0781-3416-94J3465Sandoz, Inc.Injection, voriconazole10 MG112020
39822-1077-1J3465X-Gen Pharmaceuticals, Inc.Injection, voriconazole10 MG112020
47781-466-71J3465Alvogen, Inc.Injection, voriconazole10 MG112020
24208-002-02J3471Bausch & LombOvine, up to 999 usp units1 UNIT1.22240480
18657-117-04J3473Halozyme Therapeutics, Inc.Hyaluronidase recombinant1 USP UNIT14150600
0409-1754-10J3475Pfizer Inc.Inj magnesium sulfate500 MG101010100
0409-2168-02J3475Pfizer Inc.Inj magnesium sulfate500 MG202520500
39822-4025-2J3475X-Gen Pharmaceuticals, Inc.Inj magnesium sulfate500 MG102510250
44567-410-24J3475WG Critical CareInj magnesium sulfate500 MG10024248
51754-1000-4J3475EXELA PHARMA SCIENCESInj magnesium sulfate500 MG102510250
63323-064-02J3475Fresenius Kabi USA LLCInj magnesium sulfate500 MG225250
63323-064-03J3475FRESENIUS KABI USAInj magnesium sulfate500 MG225250
63323-064-10J3475Fresenius Kabi USA LLCInj magnesium sulfate500 MG102510250
63323-064-11J3475FRESENIUS KABI USAInj magnesium sulfate500 MG102510250
63323-064-20J3475Fresenius Kabi USA LLCInj magnesium sulfate500 MG202520500
63323-064-26J3475Fresenius Kabi USA LLCInj magnesium sulfate500 MG225250
63323-064-29J3475Fresenius Kabi USA LLCInj magnesium sulfate500 MG202520500
63323-064-50J3475Fresenius Kabi USA LLCInj magnesium sulfate500 MG5025501250
63323-106-01J3475Fresenius Kabi USA LLCInj magnesium sulfate500 mg100248192
63323-106-05J3475Fresenius Kabi USA LLCInj magnesium sulfate500 mg5024496
63323-106-10J3475Fresenius Kabi USA LLCInj magnesium sulfate500 mg10001280960
63323-106-15J3475Fresenius Kabi USA LLCInj magnesium sulfate500 mg5002440960
63323-106-26J3475Fresenius Kabi USA LLCInj magnesium sulfate500 mg5024496
63323-107-05J3475Fresenius Kabi USA LLCInj magnesium sulfate500 mg50248216
63323-108-26J3475Fresenius Kabi USA LLCInj magnesium sulfate500 MG10024248
63323-642-20J3475Fresenius Kabi USA LLCInj magnesium sulfate500 MG202520500
63323-642-50J3475Fresenius Kabi USA LLCInj magnesium sulfate500 MG5025501250
0264-1940-20J3480B. Braun Medical Inc.Inj potassium chloride2 MEQ250122503000
0264-7865-00J3480B. Braun Medical Inc.Inj potassium chloride2 MEQ10001210120
0338-0683-04J3480Baxter Healthcare CorporationInj potassium chloride2 MEQ100011010
0338-0691-04J3480Baxter Healthcare CorporationInj potassium chloride2 MEQ100011010
0338-0695-04J3480Baxter Healthcare CorporationInj potassium chloride2 MEQ100012020
0338-0703-41J3480Baxter Healthcare CorporationInj potassium chloride2 MEQ502410240
0338-0703-48J3480Baxter Healthcare CorporationInj potassium chloride2 MEQ1002420480
0338-0704-34J3480Baxter Healthcare CorporationInj potassium chloride2 MEQ100011010
0338-0705-41J3480Baxter Healthcare CorporationInj potassium chloride2 MEQ50245120
0338-0705-48J3480Baxter Healthcare CorporationInj potassium chloride2 MEQ1002410240
0338-0709-48J3480Baxter Healthcare CorporationInj potassium chloride2 MEQ100245120
0409-6635-01J3480Pfizer Inc.Inj potassium chloride2 MEQ5255125
0409-6651-06J3480Pfizer Inc.Inj potassium chloride2 MEQ102510250
0409-6653-05J3480Pfizer Inc.Inj potassium chloride2 MEQ202520500
0409-7074-26J3480ICU Medical Sales, Inc.Inj potassium chloride2 MEQ100245120
0409-7075-14J3480ICU Medical Sales, Inc.Inj potassium chloride2 MEQ50245120
0409-7075-26J3480ICU Medical Sales, Inc.Inj potassium chloride2 MEQ1002410240
0409-7077-14J3480ICU Medical Sales, Inc.Inj potassium chloride2 MEQ502410240
0409-7077-26J3480ICU Medical Sales, Inc.Inj potassium chloride2 MEQ1002420480
63323-965-05J3480Fresenius Kabi USA LLCInj potassium chloride2 MEQ5255125
63323-965-10J3480Fresenius Kabi USA LLCInj potassium chloride2 MEQ102510250
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