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 |
|---|---|---|---|---|---|---|---|---|
| 63323-965-20 | J3480 | Fresenius Kabi USA LLC | Inj potassium chloride | 2 MEQ | 20 | 25 | 20 | 500 |
| 63323-967-30 | J3480 | Fresenius Kabi USA LLC | Inj potassium chloride | 2 MEQ | 30 | 25 | 30 | 750 |
| 49702-213-05 | J3485 | GlaxoSmithkline | Zidovudine | 10 MG | 20 | 10 | 20 | 200 |
| 49702-213-26 | J3485 | GlaxoSmithkline | Zidovudine | 10 MG | 20 | 5 | 20 | 100 |
| 0049-1203-10 | J3486 | Pfizer Inc. | Ziprasidone mesylate | 10 MG | 1 | 10 | 2 | 20 |
| 0049-3920-83 | J3486 | Pfizer Inc. | Ziprasidone mesylate | 10 MG | 1 | 10 | 2 | 20 |
| 0078-0387-25 | J3489 | Novartis Pharmaceuticals Corporation | Zoledronic acid 1mg | 1 MG | 5 | 1 | 4 | 4 |
| 0078-0435-61 | J3489 | Novartis Pharmaceuticals Corporation | Zoledronic acid 1mg | 1 MG | 100 | 1 | 5 | 5 |
| 0078-0590-61 | J3489 | Novartis Pharmaceuticals Corporation | Zoledronic acid 1mg | 1 MG | 100 | 1 | 4 | 4 |
| 0143-9642-01 | J3489 | West-Ward Pharmaceuticals Corp | Zoledronic acid 1mg | 1 MG | 5 | 1 | 4 | 4 |
| 0409-4215-01 | J3489 | Pfizer Inc. | Zoledronic acid 1mg | 1 MG | 5 | 1 | 4 | 4 |
| 0409-4228-01 | J3489 | Pfizer Inc. | Zoledronic acid 1mg | 1 MG | 100 | 1 | 5 | 5 |
| 0409-4229-01 | J3489 | Pfizer Inc. | Zoledronic acid 1mg | 1 MG | 100 | 1 | 4 | 4 |
| 16729-242-31 | J3489 | Accord Healthcare Inc. | Zoledronic acid 1mg | 1 MG | 5 | 1 | 4 | 4 |
| 17478-327-45 | J3489 | Akorn | Zoledronic acid 1mg | 1 MG | 5 | 4 | 4 | 16 |
| 23155-170-31 | J3489 | Heritage Pharmaceuticals, Inc. | Zoledronic acid 1mg | 1 MG | 5 | 1 | 4 | 4 |
| 23155-186-31 | J3489 | Heritage Pharmaceuticals, Inc. | Zoledronic acid 1mg | 1 MG | 100 | 1 | 5 | 5 |
| 25021-801-66 | J3489 | Sagent Pharmaceuticals Inc | Zoledronic acid 1mg | 1 mg | 5 | 1 | 4 | 4 |
| 25021-801-67 | J3489 | Sagent Pharmaceuticals Inc | Zoledronic acid 1mg | 1 MG | 5 | 1 | 4 | 4 |
| 25021-826-66 | J3489 | Sagent Pharmaceuticals Inc | Zoledronic acid 1mg | 1 MG | 100 | 1 | 4 | 4 |
| 25021-826-67 | J3489 | Sagent Pharmaceuticals Inc | Zoledronic acid 1mg | 1 MG | 100 | 1 | 4 | 4 |
| 25021-826-82 | J3489 | Sagent Pharmaceuticals Inc | Zoledronic acid 1mg | 1 MG | 100 | 1 | 4 | 4 |
| 25021-830-82 | J3489 | Sagent Pharmaceuticals Inc | Zoledronic acid 1mg | 1 MG | 100 | 1 | 5 | 5 |
| 42023-151-01 | J3489 | Par Pharmaceutical, Inc | Zoledronic acid 1mg | 1 mg | 5 | 1 | 4 | 4 |
| 42023-163-01 | J3489 | Par Pharmaceutical, Inc | Zoledronic acid 1mg | 1 MG | 100 | 1 | 5 | 5 |
| 43598-330-11 | J3489 | Dr. Reddy's Laboratories, Inc. | Zoledronic acid 1mg | 1 mg | 5 | 1 | 4 | 4 |
| 43598-331-11 | J3489 | Dr. Reddy's Laboratories, Inc. | Zoledronic acid 1mg | 1 MG | 100 | 1 | 5 | 5 |
| 45963-440-55 | J3489 | Actavis Pharma, Inc. | Zoledronic acid 1mg | 1 MG | 5 | 1 | 4 | 4 |
| 51991-064-98 | J3489 | BRECKENRIDGE PHARMACEUTICAL, INC. | Zoledronic acid 1mg | 1 MG | 100 | 1 | 5 | 5 |
| 51991-065-98 | J3489 | Breckenridge Pharmaceutical | Zoledronic acid 1mg | 1 MG | 5 | 1 | 4 | 4 |
| 55111-685-07 | J3489 | Dr. Reddy's Laboratories, Inc. | Zoledronic acid 1mg | 1 mg | 5 | 1 | 4 | 4 |
| 55111-688-52 | J3489 | Dr. Reddy's Laboratories, Inc. | Zoledronic acid 1mg | 1 MG | 100 | 1 | 5 | 5 |
| 63323-961-98 | J3489 | Fresenius Kabi USA LLC | Zoledronic acid 1mg | 1 MG | 5 | 1 | 4 | 4 |
| 63323-966-00 | J3489 | Fresenius Kabi USA LLC | Zoledronic acid 1mg | 1 MG | 100 | 1 | 5 | 5 |
| 67457-390-54 | J3489 | Mylan Institutional | Zoledronic acid 1mg | 1 MG | 5 | 1 | 4 | 4 |
| 67457-619-10 | J3489 | Mylan Institutional | Zoledronic acid 1mg | 1 MG | 100 | 1 | 5 | 5 |
| 67457-794-10 | J3489 | MYLAN INSTITUTIONAL LLC | Zoledronic acid 1mg | 1 MG | 100 | 1 | 5 | 5 |
| 0264-7800-00 | J7030 | B. Braun Medical Inc. | Normal saline solution infus | 1000 ML | 1000 | 12 | 1 | 12 |
| 0264-7800-09 | J7030 | B. Braun Medical Inc. | Normal saline solution infus | 1000 ML | 1000 | 12 | 1 | 12 |
| 0264-7800-10 | J7030 | B. Braun Medical Inc. | Normal saline solution infus | 1000 ML | 500 | 24 | 0.5 | 12 |
| 0264-7800-20 | J7030 | B. Braun Medical Inc. | Normal saline solution infus | 1000 ML | 250 | 24 | 0.25 | 6 |
| 0264-9999-10 | J7030 | B. Braun Medical Inc. | Normal saline solution infus | 1000 ML | 500 | 10 | 0.5 | 5 |
| 0338-0049-02 | J7030 | Baxter Healthcare Corporation | Normal saline solution infus | 1000 ML | 250 | 1 | 0.25 | 0.25 |
| 0338-0049-03 | J7030 | Baxter Healthcare Corporation | Normal saline solution infus | 1000 ML | 500 | 1 | 0.5 | 0.5 |
| 0338-0049-04 | J7030 | Baxter Healthcare Corporation | Normal saline solution infus | 1000 ML | 1000 | 1 | 1 | 1 |
| 0338-9517-16 | J7030 | Baxter Healthcare Corporation | Normal saline solution infus | 1000 ML | 1000 | 16 | 1 | 16 |
| 0338-9517-30 | J7030 | Baxter | Normal saline solution infus | 1000 ML | 500 | 30 | 0.5 | 15 |
| 0338-9517-50 | J7030 | BAXTER HEALTHCARE CORP. | Normal saline solution infus | 1000 ML | 250 | 50 | 0.25 | 12.5 |
| 0338-9543-02 | J7030 | Baxter Healthcare Corporation | Normal saline solution infus | 500 ML | 250 | 1 | 0.5 | 0.5 |
| 0338-9543-04 | J7030 | Baxter Healthcare Corporation | Normal saline solution infus | 1000 ML | 500 | 20 | 0.5 | 10 |
| 0338-9543-06 | J7030 | Baxter Healthcare Corporation | Normal saline solution infus | 1000 ML | 1000 | 10 | 1 | 10 |
| 0409-7101-02 | J7030 | Pfizer Inc. | Normal saline solution infus | 1000 ML | 250 | 24 | 0.25 | 6 |
| 0409-7983-02 | J7030 | ICU Medical Sales, Inc. | Normal saline solution infus | 1000 ML | 250 | 24 | 0.25 | 6 |
| 0409-7983-03 | J7030 | ICU Medical Sales, Inc. | Normal saline solution infus | 1000 ML | 500 | 24 | 0.5 | 12 |
| 0409-7983-09 | J7030 | ICU Medical Sales, Inc. | Normal saline solution infus | 1000 ML | 1000 | 12 | 1 | 12 |
| 0409-7983-25 | J7030 | ICU Medical Sales, Inc. | Normal saline solution infus | 1000 ML | 250 | 24 | 0.25 | 6 |
| 0409-7983-53 | J7030 | ICU Medical Sales, Inc. | Normal saline solution infus | 1000 ML | 250 | 24 | 0.25 | 6 |
| 0409-7983-55 | J7030 | ICU Medical Sales, Inc. | Normal saline solution infus | 1000 ML | 500 | 18 | 0.5 | 9 |
| 63323-623-10 | J7030 | Fresenius Kabi USA LLC | Normal saline solution infus | 1000 ML | 1000 | 10 | 1 | 10 |
| 63323-623-59 | J7030 | Fresenius Kabi USA LLC | Normal saline solution infus | 1000 ML | 500 | 20 | 0.5 | 10 |
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