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
67467-623-01P9045Octapharma USAAlbumin (human), 5%, 250 ml250 ML10010.40.4
67467-623-02P9045Octapharma USAAlbumin (human), 5%, 250 ml250 ML250111
67467-623-03P9045Octapharma USAAlbumin (human), 5%, 250 ml250 ML500122
68516-5214-1P9045GrifolsAlbumin (human), 5%, 250 ml250 ML250111
68516-5214-2P9045GrifolsAlbumin (human), 5%, 250 ml250 ML500122
68982-623-02P9045Octapharma USAAlbumin (human), 5%, 250 ml250 ML250111
68982-623-03P9045Octapharma USAAlbumin (human), 5%, 250 ml250 ML500122
76125-785-25P9045Kedrion BiopharmaAlbumin (human), 5%, 250 ml250 ML250111
76125-790-25P9045Kedrion BiopharmaAlbumin (human), 5%, 250 ml250 ML250111
0944-0490-01P9046BaxterAlbumin (human), 25%, 20 ml20 ML20111
0944-0490-02P9046BaxterAlbumin (human), 25%, 20 ml20 ML5012.52.5
0944-0490-03P9046BaxterAlbumin (human), 25%, 20 ml20 ML100155
0944-0493-01P9046BaxterAlbumin (human), 25%, 20 ml20 ML5012.52.5
0944-0493-02P9046BaxterAlbumin (human), 25%, 20 ml20 ML100155
13533-684-16P9046TalecrisAlbumin (human), 25%, 20 ml20 ML20111
13533-684-20P9046TalecrisAlbumin (human), 25%, 20 ml20 ML5012.52.5
13533-684-71P9046TalecrisAlbumin (human), 25%, 20 ml20 ML100155
13533-692-16P9046TalecrisAlbumin (human), 25%, 20 ml20 ML20111
13533-692-20P9046TalecrisAlbumin (human), 25%, 20 ml20 ML5012.52.5
13533-692-71P9046TalecrisAlbumin (human), 25%, 20 ml20 ML100155
44206-251-05P9046CSL BehringAlbumin (human), 25%, 20 ml20 ML5012.52.5
44206-251-10P9046CSL BehringAlbumin (human), 25%, 20 ml20 ML100155
61953-0002-1P9046GrifolsAlbumin (human), 25%, 20 ml20 ML5012.52.5
61953-0002-2P9046GrifolsAlbumin (human), 25%, 20 ml20 ML100155
67467-643-01P9046Octapharma USAAlbumin (human), 25%, 20 ml20 ML5012.52.5
67467-643-02P9046Octapharma USAAlbumin (human), 25%, 20 ml20 ML100155
68516-5216-2P9046GrifolsAlbumin (human), 25%, 20 ml20 ML100155
68516-5216-5P9046GrifolsAlbumin (human), 25%, 20 ml20 ML20111
68982-643-01P9046Octapharma USAAlbumin (human), 25%, 20 ml20 ML5012.52.5
68982-643-02P9046Octapharma USAAlbumin (human), 25%, 20 ml20 ML100155
76125-784-10P9046Kedrion BiopharmaAlbumin (human), 25%, 20 ml20 ML100155
76125-784-25P9046Kedrion BiopharmaAlbumin (human), 25%, 20 ml20 ML5012.52.5
76179-025-02P9046Kedrion BiopharmaAlbumin (human), 25%, 20 ml20 ML5012.52.5
0944-0490-01P9047BaxterAlbumin (human), 25%, 50ml50 ML2010.40.4
0944-0490-02P9047BaxterAlbumin (human), 25%, 50ml50 ML50111
0944-0490-03P9047BaxterAlbumin (human), 25%, 50ml50 ML100122
0944-0493-01P9047BaxterAlbumin (human), 25%, 50ml50 ML50111
0944-0493-02P9047BaxterAlbumin (human), 25%, 50ml50 ML100112
13533-684-16P9047TalecrisAlbumin (human), 25%, 50ml50 ML2010.40.4
13533-684-20P9047TalecrisAlbumin (human), 25%, 50ml50 ML50111
13533-684-71P9047TalecrisAlbumin (human), 25%, 50ml50 ML100122
13533-692-16P9047TalecrisAlbumin (human), 25%, 50ml50 ML2010.40.4
13533-692-20P9047TalecrisAlbumin (human), 25%, 50ml50 ML50111
13533-692-71P9047TalecrisAlbumin (human), 25%, 50ml50 ML100122
44206-251-05P9047CSL BehringAlbumin (human), 25%, 50ml50 ML50111
44206-251-10P9047CSL BehringAlbumin (human), 25%, 50ml50 ML100122
61953-0002-1P9047GrifolsAlbumin (human), 25%, 50ml50 ML50111
61953-0002-2P9047GrifolsAlbumin (human), 25%, 50ml50 ML100122
67467-643-01P9047Octapharma USAAlbumin (human), 25%, 50ml50 ML50111
67467-643-02P9047Octapharma USAAlbumin (human), 25%, 50ml50 ML100122
68516-5216-1P9047GrifolsAlbumin (human), 25%, 50ml50 ML50111
68516-5216-2P9047GrifolsAlbumin (human), 25%, 50ml50 ML100122
68982-643-01P9047Octapharma USAAlbumin (human), 25%, 50ml50 ML50111
68982-643-02P9047Octapharma USAAlbumin (human), 25%, 50ml50 ML100122
76125-784-10P9047Kedrion BiopharmaAlbumin (human), 25%, 50ml50 ML100122
76125-784-25P9047Kedrion BiopharmaAlbumin (human), 25%, 50ml50 ML50111
76179-025-02P9047Kedrion BiopharmaAlbumin (human), 25%, 50ml50 ML50111
59338-775-01Q0138AMAG PharmaceuticalsFerumoxytol, non-esrd1 MG11510510
59338-775-10Q0138AMAG PharmaceuticalsFerumoxytol, non-esrd1 MG1105105100
59338-775-01Q0139AMAG PharmaceuticalsFerumoxytol, esrd use1 MG11510510
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