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
58468-0200-1J0202Genzyme CorporationInjection, alemtuzumab1 MG1.211212
55390-308-03J0207West-Ward Pharmaceuticals CorpAmifostine500 MG1313
66220-017-03J0207Cumberland Pharmaceuticals IncAmifostine500 MG1313
58468-0160-1J0221Genzyme CorporationLumizyme injection10 MG1155
58468-0160-2J0221Genzyme CorporationLumizyme injection10 MG110550
0053-7201-02J0256CSL BehringAlpha 1 proteinase inhibitor10 MG110.10.1
0944-2814-01J0256Baxalta US Inc.Alpha 1 proteinase inhibitor10 MG110.10.1
0944-2815-01J0256Baxalta US Inc.Alpha 1 proteinase inhibitor10 MG110.10.1
13533-700-02J0256Grifols USA, LLC.Alpha 1 proteinase inhibitor10 MG111000.1
13533-701-01J0256Grifols USA, LLC.Alpha 1 proteinase inhibitor10 MG111000.1
13533-703-10J0256Grifols USA, LLC.Alpha 1 proteinase inhibitor10 MG111000.1
13533-705-01J0256GRIFOLS THERAPEUTICS, INC.Alpha 1 proteinase inhibitor10 MG111000.1
0944-2884-01J0257Baxalta US Inc.Glassia injection10 MG110.10.1
0641-6166-10J0278West-Ward Pharmaceuticals CorpAmikacin sulfate injection100 MG41010100
0641-6167-10J0278West-Ward Pharmaceuticals CorpAmikacin sulfate injection100 MG210550
0703-9032-03J0278Sicor Pharmaceuticals, Inc.Amikacin sulfate injection100 MG210550
0703-9040-03J0278Sicor Pharmaceuticals, Inc.Amikacin sulfate injection100 MG41010100
23155-290-41J0278Heritage Pharmaceuticals, Inc.Amikacin sulfate injection100 MG210550
23155-290-42J0278Heritage Pharmaceuticals, Inc.Amikacin sulfate injection100 MG41010100
25021-173-02J0278Sagent Pharmaceuticals IncAmikacin sulfate injection100 MG210550
25021-173-04J0278Sagent Pharmaceuticals IncAmikacin sulfate injection100 MG41010100
63323-815-02J0278Fresenius Kabi USA LLCAmikacin sulfate injection100 MG210550
63323-815-04J0278Fresenius Kabi USA LLCAmikacin sulfate injection100 MG41010100
0409-5921-01J0280Pfizer Inc.Aminophyllin 250 mg inj250 MG1025125
0409-5921-10J0280Pfizer Inc.Aminophyllin 250 mg inj250 MG1025125
0409-5922-01J0280Pfizer Inc.Aminophyllin 250 mg inj250 MG2025250
39822-1055-5J0285X-Gen Pharmaceuticals, Inc.Amphotericin b50 MG1111
57665-101-41J0287Leadiant Biosciences, Inc.Amphotericin b lipid complex10 MG2011010
0469-3051-30J0289Astellas Pharma US, Inc.Amphotericin b liposome inj10 MG1155
0409-3718-01J0290Pfizer Inc.Ampicillin 500 mg inj500 MG110110
0409-3719-01J0290Pfizer Inc.Ampicillin 500 mg inj500 MG1100.55
0409-3720-01J0290Pfizer Inc.Ampicillin 500 mg inj500 MG110440
0409-3725-01J0290Pfizer Inc.Ampicillin 500 mg inj500 MG11020200
0409-3726-01J0290Pfizer Inc.Ampicillin 500 mg inj500 MG110220
0781-3400-95J0290Sandoz, Inc.Ampicillin 500 mg inj500 MG1100.252.5
0781-3402-95J0290Sandoz, Inc.Ampicillin 500 mg inj500 MG1100.55
0781-3404-95J0290Sandoz, Inc.Ampicillin 500 mg inj500 MG110220
0781-3407-95J0290Sandoz, Inc.Ampicillin 500 mg inj500 MG110110
0781-3408-95J0290Sandoz, Inc.Ampicillin 500 mg inj500 MG110440
0781-3409-95J0290Sandoz, Inc.Ampicillin 500 mg inj500 MG11020200
0781-3412-92J0290Sandoz, Inc.Ampicillin 500 mg inj500 MG110220
0781-3413-92J0290Sandoz, Inc.Ampicillin 500 mg inj500 MG110440
0781-9242-95J0290Sandoz, Inc.Ampicillin 500 mg inj500 MG1100.55
0781-9250-95J0290Sandoz, Inc.Ampicillin 500 mg inj500 MG110110
0781-9261-95J0290Sandoz, Inc.Ampicillin 500 mg inj500 MG110220
0781-9273-95J0290Sandoz, Inc.Ampicillin 500 mg inj500 MG110440
0781-9401-95J0290Sandoz, Inc.Ampicillin 500 mg inj500 MG1100.252.5
0781-9402-95J0290Sandoz, Inc.Ampicillin 500 mg inj500 MG1100.55
0781-9404-95J0290Sandoz, Inc.Ampicillin 500 mg inj500 MG110220
0781-9407-95J0290Sandoz, Inc.Ampicillin 500 mg inj500 MG110110
0781-9408-95J0290Sandoz, Inc.Ampicillin 500 mg inj500 MG110440
0781-9409-95J0290Sandoz, Inc.Ampicillin 500 mg inj500 MG11020200
0781-9412-92J0290Sandoz, Inc.Ampicillin 500 mg inj500 MG110220
0781-9413-92J0290Sandoz, Inc.Ampicillin 500 mg inj500 MG110440
25021-134-10J0290Sagent Pharmaceuticals IncAmpicillin 500 mg inj500 MG1100.55
25021-135-10J0290Sagent Pharmaceuticals IncAmpicillin 500 mg inj500 MG110110
25021-136-10J0290Sagent Pharmaceuticals IncAmpicillin 500 mg inj500 MG110220
25021-137-20J0290Sagent Pharmaceuticals IncAmpicillin 500 mg inj500 MG110440
44567-101-10J0290WG Critical CareAmpicillin 500 mg inj500 MG110110
44567-102-10J0290WG Critical CareAmpicillin 500 mg inj500 MG110220
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