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
0944-3051-02J7192Baxalta US Inc.Factor viii recombinant nos1 IU1111
0944-3052-02J7192Baxalta US Inc.Factor viii recombinant nos1 IU1111
0944-3053-02J7192Baxalta US Inc.Factor viii recombinant nos1 IU1111
0944-3054-02J7192Baxalta US Inc.Factor viii recombinant nos1 IU1111
0053-6233-02J7193CSL BehringFactor ix non-recombinant1 IU1111
68516-3601-2J7193Grifols USA, LLC.Factor ix non-recombinant1 IU1111
68516-3602-2J7193Grifols USA, LLC.Factor ix non-recombinant1 IU1111
68516-3603-2J7193Grifols USA, LLC.Factor ix non-recombinant1 IU1111
68516-3607-2J7193GRIFOLS BIOLOGICALS INC.Factor ix non-recombinant1 IU1111
64193-445-02J7194Baxalta US Inc.Factor ix complex1 IU1111
68516-3201-1J7194Grifols USA, LLC.Factor ix complex1 IU1111
68516-3202-2J7194Grifols USA, LLC.Factor ix complex1 IU1111
68516-3203-2J7194Grifols USA, LLC.Factor ix complex1 IU1111
68516-3207-1J7194GRIFOLS BIOLOGICALS INC.Factor ix complex1 IU1111
68516-3208-2J7194GRIFOLS BIOLOGICALS INC.Factor ix complex1 IU1111
58394-633-03J7195Pfizer Inc.Factor ix recombinant nos1 IU1111
58394-634-03J7195Pfizer Inc.Factor ix recombinant nos1 IU1111
58394-635-03J7195Pfizer Inc.Factor ix recombinant nos1 IU1111
58394-636-03J7195Pfizer Inc.Factor ix recombinant nos1 IU1111
58394-637-03J7195Pfizer Inc.Factor ix recombinant nos1 IU1111
13533-602-50J7197Grifols USA, LLC.Antithrombin iii injection1 IU1111
13533-603-20J7197Grifols USA, LLC.Antithrombin iii injection1 IU1111
64193-423-02J7198Baxalta US Inc.Anti-inhibitor1 IU1111
64193-424-02J7198Baxalta US Inc.Anti-inhibitor1 IU1111
64193-425-02J7198Baxalta US Inc.Anti-inhibitor1 IU1111
64193-426-02J7198Baxalta US Inc.Anti-inhibitor1 IU1111
0944-3026-02J7200Baxalta US Inc.Factor ix recombinan rixubis1 IU1111
0944-3028-02J7200Baxalta US Inc.Factor ix recombinan rixubis1 IU1111
0944-3030-02J7200Baxalta US Inc.Factor ix recombinan rixubis1 IU1111
0944-3032-02J7200Baxalta US Inc.Factor ix recombinan rixubis1 IU1111
0944-3034-02J7200Baxalta US Inc.Factor ix recombinan rixubis1 IU1111
64406-911-01J7201BioverativFactor ix alprolix recomb1 IU1111
64406-922-01J7201BioverativFactor ix alprolix recomb1 IU1111
64406-933-01J7201BioverativFactor ix alprolix recomb1 IU1111
64406-944-01J7201BioverativFactor ix alprolix recomb1 IU1111
64406-966-01J7201BioverativFactor ix alprolix recomb1 IU1111
64406-977-01J7201BioverativFactor ix alprolix recomb1 IU1111
69911-864-02J7202CSL BehringFactor ix idelvion inj1 IU1111
69911-865-02J7202CSL BehringFactor ix idelvion inj1 IU1111
69911-866-02J7202CSL BehringFactor ix idelvion inj1 IU1111
69911-867-02J7202CSL BehringFactor ix idelvion inj1 IU1111
64406-801-01J7205BioverativFactor viii fc fusion recomb1 IU1111
64406-802-01J7205BioverativFactor viii fc fusion recomb1 IU1111
64406-803-01J7205BioverativFactor viii fc fusion recomb1 IU1111
64406-804-01J7205BioverativFactor viii fc fusion recomb1 IU1111
64406-805-01J7205BioverativFactor viii fc fusion recomb1 IU1111
64406-806-01J7205BioverativFactor viii fc fusion recomb1 IU1111
64406-807-01J7205BioverativFactor viii fc fusion recomb1 IU1111
64406-808-01J7205BioverativFactor viii fc fusion recomb1 IU1111
64406-809-01J7205BioverativFactor viii fc fusion recomb1 IU1111
64406-810-01J7205BioverativFactor viii fc fusion recomb1 IU1111
71104-802-01J7205BioverativFactor viii fc fusion recomb1 IU1111
71104-803-01J7205 BIOVERATIV THERAPEUTICS, INCFactor viii fc fusion recomb1 IU1111
71104-805-01J7205 BIOVERATIV THERAPEUTICS, INCFactor viii fc fusion recomb1 IU1111
71104-807-01J7205BioverativFactor viii fc fusion recomb1 IU1111
71104-809-01J7205BIOVERATIV THERAPEUTICS, INCFactor viii fc fusion recomb1 IU1111
0944-4252-02J7207Baxalta US Inc.Factor viii pegylated recomb1 IU1111
0944-4254-02J7207Baxalta US Inc.Factor viii pegylated recomb1 IU1111
0944-4256-02J7207Baxalta US Inc.Factor viii pegylated recomb1 IU1111
0944-4258-02J7207Baxalta US Inc.Factor viii pegylated recomb1 IU1111
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