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
44567-103-10J0290WG Critical CareAmpicillin 500 mg inj500 MG110440
44567-104-10J0290WG Critical CareAmpicillin 500 mg inj500 MG11020200
55150-111-10J0290AuroMedics Pharma LLCAmpicillin 500 mg inj500 MG1100.55
55150-112-10J0290AuroMedics Pharma LLCAmpicillin 500 mg inj500 MG110110
55150-113-10J0290AuroMedics Pharma LLCAmpicillin 500 mg inj500 MG110220
55150-114-20J0290AuroMedics Pharma LLCAmpicillin 500 mg inj500 MG110440
63323-387-10J0290Fresenius Kabi USA LLCAmpicillin 500 mg inj500 MG10100.55
63323-388-10J0290Fresenius Kabi USA LLCAmpicillin 500 mg inj500 MG110110
63323-389-10J0290Fresenius Kabi USA LLCAmpicillin 500 mg inj500 MG1010220
63323-399-23J0290Fresenius Kabi USA LLCAmpicillin 500 mg inj500 MG110440
63323-704-08J0290Fresenius Kabi USA LLCAmpicillin 500 mg inj500 MG110220
63323-705-08J0290Fresenius Kabi USA LLCAmpicillin 500 mg inj500 MG110440
63323-707-20J0290Fresenius Kabi USA LLCAmpicillin 500 mg inj500 MG1100.55
63323-708-00J0290Fresenius Kabi USA LLCAmpicillin 500 mg inj500 MG110110
67457-350-10J0290Mylan InstitutionalAmpicillin 500 mg inj500 MG110110
67457-351-10J0290Mylan InstitutionalAmpicillin 500 mg inj500 MG110220
67457-352-10J0290Mylan InstitutionalAmpicillin 500 mg inj500 MG110440
67457-353-10J0290Mylan InstitutionalAmpicillin 500 mg inj500 MG1100.55
67457-404-10J0290Mylan InstitutionalAmpicillin 500 mg inj500 MG112020
0049-0013-83J0295Pfizer Inc.Ampicillin sodium per 1.5 gm1.5 GM110110
0049-0014-83J0295Pfizer Inc.Ampicillin sodium per 1.5 gm1.5 GM110220
0049-0024-28J0295Pfizer Inc.Ampicillin sodium per 1.5 gm1.5 GM111010
0409-2987-03J0295Pfizer Inc.Ampicillin sodium per 1.5 gm1.5 GM110220
0641-6116-10J0295West-Ward Pharmaceuticals CorpAmpicillin sodium per 1.5 gm1.5 GM110110
0641-6117-10J0295West-Ward Pharmaceuticals CorpAmpicillin sodium per 1.5 gm1.5 GM110220
0641-6118-01J0295West-Ward Pharmaceuticals CorpAmpicillin sodium per 1.5 gm1.5 GM111010
0641-6119-10J0295West-Ward Pharmaceuticals CorpAmpicillin sodium per 1.5 gm1.5 GM110110
0641-6120-10J0295West-Ward Pharmaceuticals CorpAmpicillin sodium per 1.5 gm1.5 GM110220
0641-6121-01J0295West-Ward Pharmaceuticals CorpAmpicillin sodium per 1.5 gm1.5 GM111010
25021-142-20J0295Sagent Pharmaceuticals IncAmpicillin sodium per 1.5 gm1.5 GM1101010
25021-143-30J0295Sagent Pharmaceuticals IncAmpicillin sodium per 1.5 gm1.5 GM1102020
25021-144-99J0295Sagent Pharmaceuticals IncAmpicillin sodium per 1.5 gm1.5 GM3011010
25021-186-20J0295SAGENT PHARMACEUTICALAmpicillin sodium per 1.5 gm1.5 GM110110
25021-187-30J0295SAGENT PHARMACEUTICALAmpicillin sodium per 1.5 gm1.5 GM110220
25021-188-99J0295SAGENT PHARMACEUTICALAmpicillin sodium per 1.5 gm1.5 GM111010
44567-211-10J0295WG Critical CareAmpicillin sodium per 1.5 gm1.5 GM110220
44567-212-01J0295WG Critical CareAmpicillin sodium per 1.5 gm1.5 GM111010
63323-368-20J0295Fresenius Kabi USA LLCAmpicillin sodium per 1.5 gm1.5 GM110110
63323-369-20J0295Fresenius Kabi USA LLCAmpicillin sodium per 1.5 gm1.5 GM110220
63323-370-62J0295Fresenius Kabi USA LLCAmpicillin sodium per 1.5 gm1.5 GM111010
67457-348-10J0295Mylan InstitutionalAmpicillin sodium per 1.5 gm1.5 GM110110
67457-349-10J0295Mylan InstitutionalAmpicillin sodium per 1.5 gm1.5 GM110220
67457-649-10J0295Mylan InstitutionalAmpicillin sodium per 1.5 gm1.5 GM111010
0049-0114-28J0348Pfizer Inc.Anidulafungin injection1 MG115050
0049-0116-28J0348Pfizer Inc.Anidulafungin injection1 MG11100100
17478-934-01J0360AkornHydralazine hcl injection20 MG110110
17478-934-15J0360AkornHydralazine hcl injection20 MG125125
39822-0500-4J0360X-Gen Pharmaceuticals, Inc.Hydralazine hcl injection20 MG125125
63323-614-01J0360Fresenius Kabi USA LLCHydralazine hcl injection20 MG125125
63323-614-16J0360Fresenius Kabi USA LLCHydralazine hcl injection20 MG125125
63323-614-55J0360Fresenius Kabi USA LLCHydralazine hcl injection20 MG125125
67457-291-01J0360Mylan InstitutionalHydralazine hcl injection20 MG125125
59148-018-71J0401Otsuka America Pharmaceutical, Inc.Inj aripiprazole ext rel 1mg1 MG11300300
59148-019-71J0401Otsuka America Pharmaceutical, Inc.Inj aripiprazole ext rel 1mg1 MG11400400
59148-045-80J0401Otsuka America Pharmaceutical, Inc.Inj aripiprazole ext rel 1mg1 MG11300300
59148-072-80J0401Otsuka America Pharmaceutical, Inc.Inj aripiprazole ext rel 1mg1 MG11400400
0069-0400-10J0456Pfizer Inc.Azithromycin500 MG110110
0069-3150-83J0456Pfizer Inc.Azithromycin500 MG110110
0409-0144-11J0456Pfizer Inc.Azithromycin500 MG110110
25021-112-10J0456Mylan InstitutionalAzithromycin500 MG110110
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