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 |
|---|---|---|---|---|---|---|---|---|
| 70860-106-10 | J0637 | ATHENEX PHARMACEUTICAL | Caspofungin acetate | 5 MG | 1 | 1 | 10 | 10 |
| 70860-107-10 | J0637 | Athenex Pharmaceutical Division, LLC. | Caspofungin acetate | 5 MG | 1 | 1 | 14 | 14 |
| 0078-0734-61 | J0638 | Novartis Pharmaceuticals Corporation | Canakinumab injection | 1 MG | 150 | 1 | 150 | 150 |
| 0143-9552-01 | J0640 | West-Ward Pharmaceuticals Corp | Leucovorin calcium injection | 50 MG | 1 | 1 | 7 | 7 |
| 0143-9553-01 | J0640 | West-Ward Pharmaceuticals Corp | Leucovorin calcium injection | 50 MG | 1 | 1 | 4 | 4 |
| 0143-9554-01 | J0640 | West-Ward Pharmaceuticals Corp | Leucovorin calcium injection | 50 MG | 1 | 1 | 2 | 2 |
| 0143-9555-01 | J0640 | West-Ward Pharmaceuticals Corp | Leucovorin calcium injection | 50 MG | 1 | 1 | 1 | 1 |
| 0703-5140-01 | J0640 | Sicor Pharmaceuticals, Inc. | Leucovorin calcium injection | 50 MG | 1 | 1 | 2 | 2 |
| 0703-5145-01 | J0640 | Sicor Pharmaceuticals, Inc. | Leucovorin calcium injection | 50 MG | 1 | 1 | 7 | 7 |
| 0703-5145-91 | J0640 | Sicor Pharmaceuticals, Inc. | Leucovorin calcium injection | 50 MG | 1 | 1 | 7 | 7 |
| 25021-813-10 | J0640 | Sagent Pharmaceuticals Inc | Leucovorin calcium injection | 50 MG | 1 | 10 | 1 | 10 |
| 25021-813-66 | J0640 | Sagent Pharmaceuticals Inc | Leucovorin calcium injection | 50 MG | 1 | 10 | 1 | 10 |
| 25021-814-30 | J0640 | Sagent Pharmaceuticals Inc | Leucovorin calcium injection | 50 MG | 1 | 1 | 2 | 2 |
| 25021-814-67 | J0640 | Sagent Pharmaceuticals Inc | Leucovorin calcium injection | 50 MG | 1 | 1 | 2 | 2 |
| 25021-815-30 | J0640 | Sagent Pharmaceuticals Inc | Leucovorin calcium injection | 50 MG | 1 | 1 | 4 | 4 |
| 25021-815-67 | J0640 | Sagent Pharmaceuticals Inc | Leucovorin calcium injection | 50 MG | 1 | 1 | 4 | 4 |
| 25021-816-30 | J0640 | Sagent Pharmaceuticals Inc | Leucovorin calcium injection | 50 MG | 1 | 1 | 7 | 7 |
| 25021-816-67 | J0640 | Sagent Pharmaceuticals Inc | Leucovorin calcium injection | 50 MG | 1 | 1 | 7 | 7 |
| 63323-710-50 | J0640 | Fresenius Kabi USA LLC | Leucovorin calcium injection | 50 MG | 1 | 1 | 4 | 4 |
| 63323-710-59 | J0640 | Fresenius Kabi USA LLC | Leucovorin calcium injection | 50 MG | 1 | 1 | 4 | 4 |
| 63323-711-00 | J0640 | Fresenius Kabi USA LLC | Leucovorin calcium injection | 50 MG | 1 | 1 | 10 | 10 |
| 68001-285-36 | J0640 | American Health Packaging | Leucovorin calcium injection | 50 MG | 1 | 1 | 2 | 2 |
| 68001-285-37 | J0640 | American Health Packaging | Leucovorin calcium injection | 50 MG | 1 | 1 | 4 | 4 |
| 68001-285-40 | J0640 | American Health Packaging | Leucovorin calcium injection | 50 MG | 1 | 10 | 1 | 10 |
| 68001-286-38 | J0640 | American Health Packaging | Leucovorin calcium injection | 50 MG | 1 | 1 | 7 | 7 |
| 0143-9558-01 | J0641 | West-Ward Pharmaceuticals Corp | Levoleucovorin injection | 0.5 MG | 1 | 1 | 100 | 100 |
| 0591-4130-54 | J0641 | Actavis Pharma, Inc. | Levoleucovorin injection | 0.5 MG | 1 | 1 | 350 | 350 |
| 0781-3201-94 | J0641 | Sandoz, Inc. | Levoleucovorin injection | 0.5 MG | 17.5 | 1 | 350 | 350 |
| 45963-762-57 | J0641 | Actavis Pharma, Inc. | Levoleucovorin injection | 0.5 MG | 1 | 1 | 100 | 100 |
| 67457-600-20 | J0641 | Mylan Institutional | Levoleucovorin injection | 0.5 MG | 17.5 | 1 | 350 | 350 |
| 67457-601-30 | J0641 | Mylan Institutional | Levoleucovorin injection | 0.5 MG | 17.5 | 1 | 350 | 350 |
| 68152-101-00 | J0641 | Spectrum Pharmaceuticals | Levoleucovorin injection | 0.5 MG | 1 | 1 | 100 | 100 |
| 70121-1099-1 | J0641 | Amneal Biosciences | Levoleucovorin injection | 0.5 MG | 1 | 1 | 100 | 100 |
| 63323-260-37 | J0670 | Fresenius Kabi USA LLC | Inj mepivacaine hcl/10 ml | 10 ML | 30 | 25 | 3 | 75 |
| 63323-283-57 | J0670 | Fresenius Kabi USA LLC | Inj mepivacaine hcl/10 ml | 10 ML | 50 | 25 | 5 | 125 |
| 63323-293-37 | J0670 | Fresenius Kabi USA LLC | Inj mepivacaine hcl/10 ml | 10 ML | 30 | 25 | 3 | 75 |
| 63323-294-27 | J0670 | Fresenius Kabi USA LLC | Inj mepivacaine hcl/10 ml | 10 ML | 20 | 25 | 2 | 50 |
| 63323-296-57 | J0670 | Fresenius Kabi USA LLC | Inj mepivacaine hcl/10 ml | 10 ML | 50 | 25 | 5 | 125 |
| 0143-9261-10 | J0690 | West-Ward Pharmaceuticals Corp | Cefazolin sodium injection | 500 MG | 1 | 10 | 20 | 200 |
| 0143-9262-25 | J0690 | West-Ward Pharmaceuticals Corp | Cefazolin sodium injection | 500 MG | 1 | 25 | 2 | 50 |
| 0143-9923-90 | J0690 | West-Ward Pharmaceuticals Corp | Cefazolin sodium injection | 500 MG | 1 | 25 | 1 | 25 |
| 0143-9924-90 | J0690 | West-Ward Pharmaceuticals Corp | Cefazolin sodium injection | 500 MG | 1 | 25 | 2 | 50 |
| 0143-9983-03 | J0690 | West-Ward Pharmaceuticals Corp | Cefazolin sodium injection | 500 MG | 1 | 10 | 20 | 200 |
| 0264-3103-11 | J0690 | B. Braun Medical Inc. | Cefazolin sodium injection | 500 MG | 50 | 24 | 2 | 48 |
| 0264-3105-11 | J0690 | B. Braun Medical Inc. | Cefazolin sodium injection | 500 MG | 50 | 24 | 4 | 96 |
| 0338-3503-41 | J0690 | Baxter Healthcare Corporation | Cefazolin sodium injection | 500 MG | 50 | 24 | 2 | 48 |
| 0338-3508-41 | J0690 | Baxter Healthcare Corporation | Cefazolin sodium injection | 500 MG | 100 | 12 | 4 | 48 |
| 0409-0805-01 | J0690 | Pfizer Inc. | Cefazolin sodium injection | 500 MG | 1 | 25 | 2 | 50 |
| 0409-0806-01 | J0690 | Pfizer Inc. | Cefazolin sodium injection | 500 MG | 1 | 10 | 20 | 200 |
| 0409-2585-01 | J0690 | Pfizer Inc. | Cefazolin sodium injection | 500 MG | 1 | 25 | 2 | 50 |
| 0781-3450-95 | J0690 | Sandoz, Inc. | Cefazolin sodium injection | 500 MG | 1 | 1 | 10 | 10 |
| 0781-3451-96 | J0690 | Sandoz, Inc. | Cefazolin sodium injection | 500 MG | 10 | 25 | 2 | 50 |
| 0781-3452-95 | J0690 | Sandoz, Inc. | Cefazolin sodium injection | 500 MG | 10 | 10 | 20 | 200 |
| 25021-100-10 | J0690 | Sagent Pharmaceuticals Inc | Cefazolin sodium injection | 500 MG | 1 | 25 | 1 | 25 |
| 25021-100-66 | J0690 | Sagent Pharmaceuticals Inc | Cefazolin sodium injection | 500 MG | 1 | 25 | 1 | 25 |
| 25021-101-10 | J0690 | Sagent Pharmaceuticals Inc | Cefazolin sodium injection | 500 MG | 1 | 25 | 2 | 50 |
| 25021-101-67 | J0690 | Sagent Pharmaceuticals Inc | Cefazolin sodium injection | 500 MG | 1 | 25 | 2 | 50 |
| 25021-102-69 | J0690 | Sagent Pharmaceuticals Inc | Cefazolin sodium injection | 500 MG | 1 | 10 | 20 | 200 |
| 25021-102-99 | J0690 | Sagent Pharmaceuticals Inc | Cefazolin sodium injection | 500 MG | 1 | 10 | 20 | 200 |
| 44567-706-25 | J0690 | WG Critical Care | Cefazolin sodium injection | 500 MG | 1 | 25 | 1 | 25 |
Page 9