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
0069-1309-04Q5105PFIZER LABSInj Retacrit esrd on dialysi100 UNITS144001600
0069-1309-10Q5105PFIZER LABSInj Retacrit esrd on dialysi100 UNITS1104004000
0069-1305-10Q5106PFIZER LABSInj Retacrit non-esrd use1000 UNITS110220
0069-1306-10Q5106PFIZER LABSInj Retacrit non-esrd use1000 UNITS110330
0069-1307-10Q5106PFIZER LABSInj Retacrit non-esrd use1000 UNITS110440
0069-1308-10Q5106PFIZER LABSInj Retacrit non-esrd use1000 UNITS11010100
0069-1309-04Q5106PFIZER LABSInj Retacrit non-esrd use1000 UNITS1440160
0069-1309-10Q5106PFIZER LABSInj Retacrit non-esrd use1000 UNITS11040400
67457-833-06Q5108Mylan Institutional LLCInjection, fulphila0.5 MG0.611212
0270-7099-16Q9950Bracco DiagnosticsInj sulf hexa lipid microsph1 ML55525
0407-2707-03Q9956GE HealthcareInj octafluoropropane mic,ml1 ML35315
0407-2707-18Q9956GE HealthcareInj octafluoropropane mic,ml1 ML318354
11994-011-04Q9957Lantheus Medical Imaging, Inc.Inj perflutren lip micros,ml1 ML2428
11994-011-16Q9957Lantheus Medical Imaging, Inc.Inj perflutren lip micros,ml1 ML216232
0019-0862-50Q9958Liebel FlarsheimHocm <=149 mg/ml iodine, 1ml1 ML250122503000
0270-0149-57Q9958Bracco DiagnosticsHocm <=149 mg/ml iodine, 1ml1 ML300103003000
0270-0149-60Q9958Bracco DiagnosticsHocm <=149 mg/ml iodine, 1ml1 ML100101001000
0270-1410-30Q9958Bracco DiagnosticsHocm <=149 mg/ml iodine, 1ml1 ML300103003000
0019-3183-05Q9960Liebel FlarsheimHocm 200-249mg/ml iodine,1ml1 ML5025501250
0019-3183-09Q9960Liebel FlarsheimHocm 200-249mg/ml iodine,1ml1 ML250122503000
0019-3183-15Q9960Liebel FlarsheimHocm 200-249mg/ml iodine,1ml1 ML5050502500
0019-3183-50Q9960Liebel FlarsheimHocm 200-249mg/ml iodine,1ml1 ML250122503000
0019-0953-05Q9961Liebel FlarsheimHocm 250-299mg/ml iodine,1ml1 ML5025501250
0019-0953-09Q9961Liebel FlarsheimHocm 250-299mg/ml iodine,1ml1 ML100121001200
0019-0953-10Q9961Liebel FlarsheimHocm 250-299mg/ml iodine,1ml1 ML100121001200
0019-0953-11Q9961Liebel FlarsheimHocm 250-299mg/ml iodine,1ml1 ML150121501800
0019-0953-13Q9961Liebel FlarsheimHocm 250-299mg/ml iodine,1ml1 ML3050301500
0019-0953-15Q9961Liebel FlarsheimHocm 250-299mg/ml iodine,1ml1 ML5050502500
0019-0953-23Q9961Liebel FlarsheimHocm 250-299mg/ml iodine,1ml1 ML302530750
0019-0953-50Q9961Liebel FlarsheimHocm 250-299mg/ml iodine,1ml1 ML150121501800
0019-4816-04Q9963Liebel FlarsheimHocm 350-399mg/ml iodine,1ml1 ML302530750
0270-0445-35Q9963Bracco DiagnosticsHocm 350-399mg/ml iodine,1ml1 ML302430720
0270-0445-40Q9963Bracco DiagnosticsHocm 350-399mg/ml iodine,1ml1 ML120121201440
0407-1401-52Q9965GE HealthcareLocm 100-199mg/ml iodine,1ml1 ML501050500
0407-1411-10Q9965GE HealthcareLocm 100-199mg/ml iodine,1ml1 ML101010100
0407-1411-20Q9965GE HealthcareLocm 100-199mg/ml iodine,1ml1 ML201020200
0019-1324-06Q9966Liebel FlarsheimLocm 200-299mg/ml iodine,1ml1 ML5025501250
0019-1324-11Q9966Liebel FlarsheimLocm 200-299mg/ml iodine,1ml1 ML100121001200
0019-1324-21Q9966Liebel FlarsheimLocm 200-299mg/ml iodine,1ml1 ML200122002400
0019-1324-87Q9966Liebel FlarsheimLocm 200-299mg/ml iodine,1ml1 ML125201252500
0270-1314-15Q9966Bracco DiagnosticsLocm 200-299mg/ml iodine,1ml1 ML200102002000
0270-1314-30Q9966Bracco DiagnosticsLocm 200-299mg/ml iodine,1ml1 ML501050500
0270-1317-02Q9966Bracco DiagnosticsLocm 200-299mg/ml iodine,1ml1 ML100101001000
0270-1317-05Q9966Bracco DiagnosticsLocm 200-299mg/ml iodine,1ml1 ML501050500
0270-1317-09Q9966Bracco DiagnosticsLocm 200-299mg/ml iodine,1ml1 ML150101501500
0270-1317-41Q9966Bracco DiagnosticsLocm 200-299mg/ml iodine,1ml1 ML200102002000
0270-1411-11Q9966Bracco DiagnosticsLocm 200-299mg/ml iodine,1ml1 ML101010100
0270-1411-25Q9966Bracco DiagnosticsLocm 200-299mg/ml iodine,1ml1 ML201020200
0407-1412-10Q9966GE HealthcareLocm 200-299mg/ml iodine,1ml1 ML101010100
0407-1412-20Q9966GE HealthcareLocm 200-299mg/ml iodine,1ml1 ML201020200
0407-1412-29Q9966GE HealthcareLocm 200-299mg/ml iodine,1ml1 ML501050500
0407-1412-30Q9966GE HealthcareLocm 200-299mg/ml iodine,1ml1 ML501050500
0407-1412-33Q9966GE HealthcareLocm 200-299mg/ml iodine,1ml1 ML100101001000
0407-1412-34Q9966GE HealthcareLocm 200-299mg/ml iodine,1ml1 ML150101501500
0407-1412-35Q9966GE HealthcareLocm 200-299mg/ml iodine,1ml1 ML200102002000
0407-1412-38Q9966GE HealthcareLocm 200-299mg/ml iodine,1ml1 ML501050500
0407-2222-16Q9966GE HealthcareLocm 200-299mg/ml iodine,1ml1 ML501050500
0407-2222-17Q9966GE HealthcareLocm 200-299mg/ml iodine,1ml1 ML100101001000
0407-2222-19Q9966GE HealthcareLocm 200-299mg/ml iodine,1ml1 ML150101501500
0407-2222-21Q9966GE HealthcareLocm 200-299mg/ml iodine,1ml1 ML200102002000
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