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
58394-022-03J7185Pfizer Inc.Xyntha inj1 IU1111
58394-023-03J7185Pfizer Inc.Xyntha inj1 IU1111
58394-024-03J7185Pfizer Inc.Xyntha inj1 IU1111
58394-025-03J7185Pfizer Inc.Xyntha inj1 IU1111
68516-4601-1J7186Grifols USA, LLC.Antihemophilic viii/vwf compPER FACTOR VIII IU1111
68516-4602-1J7186Grifols USA, LLC.Antihemophilic viii/vwf compPER FACTOR VIII IU1111
68516-4603-2J7186Grifols USA, LLC.Antihemophilic viii/vwf compPER FACTOR VIII IU1111
68516-4604-2J7186Grifols USA, LLC.Antihemophilic viii/vwf compPER FACTOR VIII IU1111
68516-4609-2J7186Grifols USA, LLC.Antihemophilic viii/vwf compPER FACTOR VIII IU1111
68516-4611-1J7186GRIFOLS USAAntihemophilic viii/vwf compPER FACTOR VIII IU1111
68516-4612-1J7186GRIFOLS USAAntihemophilic viii/vwf compPER FACTOR VIII IU1111
68516-4613-2J7186GRIFOLS USAAntihemophilic viii/vwf compPER FACTOR VIII IU1111
68516-4614-2J7186GRIFOLS USAAntihemophilic viii/vwf compPER FACTOR VIII IU1111
63833-615-02J7187CSL BehringHumate-p, inj1 IU1111
63833-616-02J7187CSL BehringHumate-p, inj1 IU1111
63833-617-02J7187CSL BehringHumate-p, inj1 IU1111
0169-7201-01J7189Novo Nordisk? Inc.Factor viia1 MCG1110001000
0169-7202-01J7189Novo Nordisk? Inc.Factor viia1 MCG1120002000
0169-7205-01J7189Novo Nordisk? Inc.Factor viia1 MCG1150005000
0169-7208-01J7189Novo Nordisk? Inc.Factor viia1 MCG1180008000
0053-7633-02J7190CSL BehringFactor viii1 IU1111
0944-3940-02J7190Baxalta US Inc.Factor viii1 IU1111
0944-3942-02J7190Baxalta US Inc.Factor viii1 IU1111
0944-3944-02J7190Baxalta US Inc.Factor viii1 IU1111
0944-3946-02J7190Baxalta US Inc.Factor viii1 IU1111
68516-4601-1J7190Grifols USA, LLC.Factor viii1 IU1111
68516-4602-1J7190Grifols USA, LLC.Factor viii1 IU1111
68516-4603-2J7190Grifols USA, LLC.Factor viii1 IU1111
68516-4604-2J7190Grifols USA, LLC.Factor viii1 IU1111
76125-250-20J7190Kedrion BioPharma, Inc.Factor viii1 IU1111
76125-256-20J7190Kedrion BioPharma, Inc.Factor viii1 IU1111
76125-667-30J7190Kedrion BioPharma, Inc.Factor viii1 IU1111
76125-668-30J7190Kedrion BioPharma, Inc.Factor viii1 IU1111
76125-672-50J7190Kedrion BioPharma, Inc.Factor viii1 IU1111
76125-676-50J7190Kedrion BioPharma, Inc.Factor viii1 IU1111
0026-3782-25J7192Bayer HealthCare Pharmaceuticals Inc.Factor viii recombinant nos1 IU1111
0026-3783-35J7192Bayer HealthCare Pharmaceuticals Inc.Factor viii recombinant nos1 IU1111
0026-3785-55J7192Bayer HealthCare Pharmaceuticals Inc.Factor viii recombinant nos1 IU1111
0026-3786-65J7192Bayer HealthCare Pharmaceuticals Inc.Factor viii recombinant nos1 IU1111
0026-3787-75J7192Bayer HealthCare Pharmaceuticals Inc.Factor viii recombinant nos1 IU1111
0053-8131-02J7192CSL BehringFactor viii recombinant nos1 IU1111
0053-8132-02J7192CSL BehringFactor viii recombinant nos1 IU1111
0053-8133-02J7192CSL BehringFactor viii recombinant nos1 IU1111
0053-8134-02J7192CSL BehringFactor viii recombinant nos1 IU1111
0053-8135-02J7192CSL BehringFactor viii recombinant nos1 IU1111
0944-2841-10J7192Baxalta US Inc.Factor viii recombinant nos1 IU1111
0944-2842-10J7192Baxalta US Inc.Factor viii recombinant nos1 IU1111
0944-2843-10J7192Baxalta US Inc.Factor viii recombinant nos1 IU1111
0944-2844-10J7192Baxalta US Inc.Factor viii recombinant nos1 IU1111
0944-2845-10J7192Baxalta US Inc.Factor viii recombinant nos1 IU1111
0944-2921-02J7192Baxalta US Inc.Factor viii recombinant nos1 IU1111
0944-2922-02J7192Baxalta US Inc.Factor viii recombinant nos1 IU1111
0944-2923-02J7192Baxalta US Inc.Factor viii recombinant nos1 IU1111
0944-2924-02J7192Baxalta US Inc.Factor viii recombinant nos1 IU1111
0944-2948-10J7192Baxalta US Inc.Factor viii recombinant nos1 IU1111
0944-2964-10J7192Baxalta US Inc.Factor viii recombinant nos1 IU1111
0944-2965-10J7192Baxalta US Inc.Factor viii recombinant nos1 IU1111
0944-3045-10J7192Baxalta US Inc.Factor viii recombinant nos1 IU1111
0944-3046-10J7192Baxalta US Inc.Factor viii recombinant nos1 IU1111
0944-3047-10J7192Baxalta US Inc.Factor viii recombinant nos1 IU1111
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