NDC - HCPCS Crosswalk

Effective January 1, 2019 through March 31, 2019

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
66215-302-30Q4074Actelion Pharmaceuticals U.S, IncIloprost non-comp unit doseUP TO 20 MCG130130
66215-303-30Q4074Actelion Pharmaceuticals U.S, IncIloprost non-comp unit doseUP TO 20 MCG130130
55513-126-10Q4081Amgen USA, Inc.Epoetin alfa, 100 units esrd100 UNITS11020200
55513-144-10Q4081Amgen USA, Inc.Epoetin alfa, 100 units esrd100 UNITS1101001000
55513-148-10Q4081Amgen USA, Inc.Epoetin alfa, 100 units esrd100 UNITS11040400
55513-267-10Q4081Amgen USA, Inc.Epoetin alfa, 100 units esrd100 UNITS11030300
55513-283-10Q4081Amgen USA, Inc.Epoetin alfa, 100 units esrd100 UNITS2102002000
55513-478-10Q4081Amgen USA, Inc.Epoetin alfa, 100 units esrd100 UNITS1102002000
59676-302-01Q4081Janssen Products, LPEpoetin alfa, 100 units esrd100 UNITS1620120
59676-303-01Q4081Janssen Products, LPEpoetin alfa, 100 units esrd100 UNITS1630180
59676-304-01Q4081Janssen Products, LPEpoetin alfa, 100 units esrd100 UNITS1640240
59676-310-01Q4081Janssen Products, LPEpoetin alfa, 100 units esrd100 UNITS16100600
59676-310-02Q4081Janssen Products, LPEpoetin alfa, 100 units esrd100 UNITS1251002500
59676-312-04Q4081Janssen Products, LPEpoetin alfa, 100 units esrd100 UNITS24200800
59676-320-04Q4081Janssen Products, LPEpoetin alfa, 100 units esrd100 UNITS14200800
59676-340-01Q4081Janssen Products, LPEpoetin alfa, 100 units esrd100 UNITS144001600
61314-304-01Q5101Sandoz, Inc.Injection, zarxio1 MCG0.51300300
61314-304-10Q5101Sandoz, Inc.Injection, zarxio1 MCG0.5103003000
61314-312-01Q5101Sandoz, Inc.Injection, zarxio1 MCG0.81480480
61314-312-10Q5101Sandoz, Inc.Injection, zarxio1 MCG0.8104804800
61314-318-01Q5101SANDOZInjection, zarxio1 MCG0.51300300
61314-318-10Q5101SANDOZInjection, zarxio1 MCG0.5103003000
61314-326-01Q5101SANDOZInjection, zarxio1 MCG0.81480480
61314-326-10Q5101SANDOZInjection, zarxio1 MCG0.8104804800
0069-0809-01Q5103Pfizer Inc.Injection, inflectra10 MG111010
0006-4305-02Q5104Merck Sharp & Dohme Corp.Injection, renflexis10 MG111010
0069-1305-10Q5105PFIZER LABSInj retacrit esrd on dialysi100 UNITS11020200
0069-1306-10Q5105PFIZER LABSInj retacrit esrd on dialysi100 UNITS11030300
0069-1307-10Q5105PFIZER LABSInj retacrit esrd on dialysi100 UNITS11040400
0069-1308-10Q5105PFIZER LABSInj retacrit esrd on dialysi100 UNITS1101001000
0069-1309-04Q5105PFIZER LABSInj retacrit esrd on dialysi100 UNITS144001600
0069-1309-10Q5105PFIZER LABSInj retacrit esrd on dialysi100 UNITS1104004000
59353-002-10Q5105Vifor International Ltd.Inj retacrit esrd on dialysi100 UNITS11020200
59353-003-10Q5105Vifor International Ltd.Inj retacrit esrd on dialysi100 UNITS11030300
59353-004-10Q5105Vifor International Ltd.Inj retacrit esrd on dialysi100 UNITS11040400
59353-010-10Q5105Vifor International Ltd.Inj retacrit esrd on dialysi100 UNITS1101001000
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
59353-002-10Q5106Vifor International Ltd.Inj retacrit non-esrd use1000 UNITS110220
59353-003-10Q5106Vifor International Ltd.Inj retacrit non-esrd use1000 UNITS110330
59353-004-10Q5106Vifor International Ltd.Inj retacrit non-esrd use1000 UNITS110440
59353-010-10Q5106Vifor International Ltd.Inj retacrit non-esrd use1000 UNITS11010100
67457-833-06Q5108Mylan Institutional LLCInjection, fulphila0.5 MG0.611212
0069-0291-01Q5110Pfizer LaboratoriesNivestym1 MCG0.51300300
0069-0291-10Q5110Pfizer LaboratoriesNivestym1 MCG0.5103003000
0069-0292-01Q5110Pfizer LaboratoriesNivestym1 MCG0.81480480
0069-0292-10Q5110Pfizer LaboratoriesNivestym1 MCG0.8104804800
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
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