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
0338-0117-04J7120Baxter Healthcare CorporationRingers lactate infusion1000 CC1000111
0409-7953-02J7120ICU Medical Sales, Inc.Ringers lactate infusion1000 CC250240.256
0409-7953-03J7120ICU Medical Sales, Inc.Ringers lactate infusion1000 CC500240.512
0409-7953-09J7120ICU Medical Sales, Inc.Ringers lactate infusion1000 CC100012112
50242-920-01J7170Genentech, Inc.Inj., emicizumab-kxwh 0.5 mg0.5 MG116060
50242-921-01J7170Genentech, Inc.Inj., emicizumab-kxwh 0.5 mg0.5 MG0.41120120
50242-922-01J7170Genentech, Inc.Inj., emicizumab-kxwh 0.5 mg0.5 MG0.71210210
50242-923-01J7170Genentech, Inc.Inj., emicizumab-kxwh 0.5 mg0.5 MG11300300
63833-518-02J7180CSL BehringFactor xiii anti-hem factor1 IU1111
0169-7810-01J7182Novo Nordisk? Inc.Factor viii recomb novoeight1 IU1111
0169-7815-01J7182Novo Nordisk? Inc.Factor viii recomb novoeight1 IU1111
0169-7820-01J7182Novo Nordisk? Inc.Factor viii recomb novoeight1 IU1111
0169-7825-01J7182Novo Nordisk? Inc.Factor viii recomb novoeight1 IU1111
0169-7830-01J7182Novo Nordisk? Inc.Factor viii recomb novoeight1 IU1111
0169-7850-01J7182Novo Nordisk? Inc.Factor viii recomb novoeight1 IU1111
67467-182-01J7183Octapharma USAWilate injection1 I.U. VWF:RCO1111
67467-182-02J7183Octapharma USAWilate injection1 I.U. VWF:RCO1111
68982-182-01J7183Octapharma USAWilate injection1 I.U. VWF:RCO1111
68982-182-02J7183Octapharma USAWilate injection1 I.U. VWF:RCO1111
58394-012-01J7185Pfizer Inc.Xyntha inj1 IU1111
58394-013-01J7185Pfizer Inc.Xyntha inj1 IU1111
58394-014-01J7185Pfizer Inc.Xyntha inj1 IU1111
58394-015-01J7185Pfizer Inc.Xyntha inj1 IU1111
58394-016-03J7185Pfizer Inc.Xyntha inj1 IU1111
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
68516-4615-2J7186GRIFOLS 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
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