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
0703-5145-01J0640Sicor Pharmaceuticals, Inc.Leucovorin calcium injection50 MG1177
0703-5145-91J0640Sicor Pharmaceuticals, Inc.Leucovorin calcium injection50 MG1177
25021-813-10J0640Sagent Pharmaceuticals IncLeucovorin calcium injection50 MG110110
25021-813-66J0640Sagent Pharmaceuticals IncLeucovorin calcium injection50 MG110110
25021-814-30J0640Sagent Pharmaceuticals IncLeucovorin calcium injection50 MG1122
25021-814-67J0640Sagent Pharmaceuticals IncLeucovorin calcium injection50 MG1122
25021-815-30J0640Sagent Pharmaceuticals IncLeucovorin calcium injection50 MG1144
25021-815-67J0640Sagent Pharmaceuticals IncLeucovorin calcium injection50 MG1144
25021-816-30J0640Sagent Pharmaceuticals IncLeucovorin calcium injection50 MG1177
25021-816-67J0640Sagent Pharmaceuticals IncLeucovorin calcium injection50 MG1177
25021-828-50J0640SAGENT PHARMACEUTICALLeucovorin calcium injection50 MG111010
63323-710-50J0640Fresenius Kabi USA LLCLeucovorin calcium injection50 MG1144
63323-710-59J0640Fresenius Kabi USA LLCLeucovorin calcium injection50 MG1144
63323-711-00J0640Fresenius Kabi USA LLCLeucovorin calcium injection50 MG111010
68001-285-36J0640American Health PackagingLeucovorin calcium injection50 MG1122
68001-285-37J0640American Health PackagingLeucovorin calcium injection50 MG1144
68001-285-40J0640American Health PackagingLeucovorin calcium injection50 MG110110
68001-286-38J0640American Health PackagingLeucovorin calcium injection50 MG1177
0143-9558-01J0641West-Ward Pharmaceuticals CorpLevoleucovorin injection0.5 MG11100100
0591-4130-54J0641Actavis Pharma, Inc.Levoleucovorin injection0.5 MG11350350
0781-3201-94J0641Sandoz, Inc.Levoleucovorin injection0.5 MG17.51350350
45963-762-57J0641Actavis Pharma, Inc.Levoleucovorin injection0.5 MG11100100
50742-494-17J0641INGENUS PHARMACEUTICALSLevoleucovorin injection0.5 MG17.51350350
50742-495-25J0641INGENUS PHARMACEUTICALSLevoleucovorin injection0.5 MG251500500
67457-600-20J0641Mylan InstitutionalLevoleucovorin injection0.5 MG17.51350350
67457-601-30J0641Mylan InstitutionalLevoleucovorin injection0.5 MG17.51350350
68152-101-00J0641Spectrum PharmaceuticalsLevoleucovorin injection0.5 MG11100100
70121-1099-1J0641Amneal BiosciencesLevoleucovorin injection0.5 MG11100100
63323-260-37J0670Fresenius Kabi USA LLCInj mepivacaine hcl/10 ml10 ML3025375
63323-283-57J0670Fresenius Kabi USA LLCInj mepivacaine hcl/10 ml10 ML50255125
63323-293-37J0670Fresenius Kabi USA LLCInj mepivacaine hcl/10 ml10 ML3025375
63323-294-27J0670Fresenius Kabi USA LLCInj mepivacaine hcl/10 ml10 ML2025250
63323-296-57J0670Fresenius Kabi USA LLCInj mepivacaine hcl/10 ml10 ML50255125
0143-9261-10J0690West-Ward Pharmaceuticals CorpCefazolin sodium injection500 MG11020200
0143-9262-25J0690West-Ward Pharmaceuticals CorpCefazolin sodium injection500 MG125250
0143-9923-90J0690West-Ward Pharmaceuticals CorpCefazolin sodium injection500 MG125125
0143-9924-90J0690West-Ward Pharmaceuticals CorpCefazolin sodium injection500 MG125250
0143-9983-03J0690West-Ward Pharmaceuticals CorpCefazolin sodium injection500 MG11020200
0264-3103-11J0690B. Braun Medical Inc.Cefazolin sodium injection500 MG5024248
0264-3105-11J0690B. Braun Medical Inc.Cefazolin sodium injection500 MG5024496
0338-3503-41J0690Baxter Healthcare CorporationCefazolin sodium injection500 MG5024248
0338-3508-41J0690Baxter Healthcare CorporationCefazolin sodium injection500 MG10012448
0409-0805-01J0690Pfizer Inc.Cefazolin sodium injection500 MG125250
0409-0806-01J0690Pfizer Inc.Cefazolin sodium injection500 MG11020200
0409-2585-01J0690Pfizer Inc.Cefazolin sodium injection500 MG125250
0781-3450-95J0690Sandoz, Inc.Cefazolin sodium injection500 MG111010
0781-3451-96J0690Sandoz, Inc.Cefazolin sodium injection500 MG1025250
0781-3452-95J0690Sandoz, Inc.Cefazolin sodium injection500 MG101020200
25021-100-10J0690Sagent Pharmaceuticals IncCefazolin sodium injection500 MG125125
25021-100-66J0690Sagent Pharmaceuticals IncCefazolin sodium injection500 MG125125
25021-101-10J0690Sagent Pharmaceuticals IncCefazolin sodium injection500 MG125250
25021-101-67J0690Sagent Pharmaceuticals IncCefazolin sodium injection500 MG125250
25021-102-69J0690Sagent Pharmaceuticals IncCefazolin sodium injection500 MG11020200
25021-102-99J0690Sagent Pharmaceuticals IncCefazolin sodium injection500 MG11020200
44567-706-25J0690WG Critical CareCefazolin sodium injection500 MG125125
44567-707-25J0690WG Critical CareCefazolin sodium injection500 MG125250
44567-708-10J0690WG Critical CareCefazolin sodium injection500 MG11020200
63323-236-10J0690Fresenius Kabi USA LLCCefazolin sodium injection500 MG125125
63323-237-10J0690Fresenius Kabi USA LLCCefazolin sodium injection500 MG125250
63323-238-61J0690Fresenius Kabi USA LLCCefazolin sodium injection500 MG11020200
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