J-Code to National Drug Code - Providers

[Pages:45]J-Code to National Drug Code (NDC) Billing Cross-Reference Guide

J0129 10 MG

Injection, abatacept, 10 mg

HCPC NDC UNIT NDC

NDC

NDC

NDC

NDC

CF

CODE QUALIFIER STRENGTH STRENGTH STRENGTH VOLUME VOLUME

NUMBER UNIT UNIT STRENGTH

J0129 UN

250 MG

250

MG

25

NDC GENERIC NAME

ABATACEPT/MALTOSE

J0150 6 MG

Injection adenosine 6 MG

HCPC NDC UNIT NDC

NDC

NDC

NDC

NDC

CF

CODE QUALIFIER STRENGTH STRENGTH STRENGTH VOLUME VOLUME

NUMBER UNIT UNIT STRENGTH

J0150 ML

3 MG/ML

3

MG

ML

1

0.5

NDC GENERIC NAME

ADENOSINE

J0171 0.1 MG

Adrenalin epinephrine inject

HCPC NDC UNIT NDC

NDC

NDC

NDC

NDC

CF

CODE QUALIFIER STRENGTH STRENGTH STRENGTH VOLUME VOLUME

NUMBER UNIT UNIT STRENGTH

J0171 ML

0.1MG/ML

0.1

MG

ML

1

1

J0171 ML

1 MG/ML

1

MG

ML

1

10

J0178 1 MG

Injection, aflibercept, 1 mg

HCPC NDC UNIT NDC

NDC

NDC

NDC

NDC

CF

CODE QUALIFIER STRENGTH STRENGTH STRENGTH VOLUME VOLUME

NUMBER UNIT UNIT STRENGTH

J0178 ML 2MG/0.05ML

2

MG

ML

0.05

40

NDC GENERIC NAME

EPINEPHRINE EPINEPHRINE

NDC GENERIC NAME

AFLIBERCEPT

J0180 1 MG

Injection, agalsidase beta, 1 mg

HCPC NDC UNIT NDC

NDC

NDC

NDC

NDC

CF

CODE QUALIFIER STRENGTH STRENGTH STRENGTH VOLUME VOLUME

NUMBER UNIT UNIT STRENGTH

J0180 UN

35 MG

35

MG

35

J0180 UN

5 MG

5

MG

5

NDC GENERIC NAME

AGALSIDASE BETA AGALSIDASE BETA

J0256 10 MG

Injection, alpha 1-proteinase inhibitor - human, 10 mg

HCPC NDC UNIT NDC

NDC

NDC

NDC

NDC

CF

CODE QUALIFIER STRENGTH STRENGTH STRENGTH VOLUME VOLUME

NUMBER UNIT UNIT STRENGTH

NDC GENERIC NAME

J0256 UN

1000 MG

1000

MG

100 ALPHA-1-PROTEINASE INHIBITOR

J0256 UN

500 MG

500

MG

50 ALPHA-1-PROTEINASE INHIBITOR

Last update: September 18, 2017

Page 1 of 45

J0280 250 MG

Aminophyllin 250 MG inj

HCPC NDC UNIT NDC

NDC

NDC

NDC

NDC

CF

CODE QUALIFIER STRENGTH STRENGTH STRENGTH VOLUME VOLUME

NUMBER UNIT UNIT STRENGTH

J0280 ML 250MG/10ML 250

MG

ML

10

0.1

J0280 ML 500MG/20ML 500

MG

ML

20

0.1

NDC GENERIC NAME

AMINOPHYLLINE AMINOPHYLLINE

J0290 500 MG

Ampicillin 500 MG inj

HCPC NDC UNIT NDC

NDC

NDC

NDC

NDC

CF

CODE QUALIFIER STRENGTH STRENGTH STRENGTH VOLUME VOLUME

NUMBER UNIT UNIT STRENGTH

J0290 UN

1 G

1

GM

2

J0290 UN

10 G

10

GM

20

J0290 UN

125 MG

125

MG

0.25

J0290 UN

2 G

2

GM

4

J0290 UN

250 MG

250

MG

0.5

J0290 UN

500 MG

500

MG

1

NDC GENERIC NAME

AMPICILLIN SODIUM AMPICILLIN SODIUM AMPICILLIN SODIUM AMPICILLIN SODIUM AMPICILLIN SODIUM AMPICILLIN SODIUM

J0295 1.5 GM

Ampicillin sodium per 1.5 gm

HCPC NDC UNIT NDC

NDC

NDC

NDC

NDC

CF

CODE QUALIFIER STRENGTH STRENGTH STRENGTH VOLUME VOLUME

NUMBER UNIT UNIT STRENGTH

J0295 UN

1.5 G

1.5

GM

1

J0295 UN

15 G

15

GM

10

J0295 UN

3 G

3

GM

2

NDC GENERIC NAME

AMPICILLIN SODIUM/SULBACTAM NA AMPICILLIN SODIUM/SULBACTAM NA AMPICILLIN SODIUM/SULBACTAM NA

J0360 20 MG

Hydralazine hcl injection

HCPC NDC UNIT NDC

NDC

NDC

NDC

NDC

CF

CODE QUALIFIER STRENGTH STRENGTH STRENGTH VOLUME VOLUME

NUMBER UNIT UNIT STRENGTH

J0360 ML

20 MG/ML

20

MG

ML

1

1

NDC GENERIC NAME

HYDRALAZINE HCL

J0456 500 MG

Azithromycin

HCPC NDC UNIT NDC

NDC

NDC

NDC

NDC

CF

CODE QUALIFIER STRENGTH STRENGTH STRENGTH VOLUME VOLUME

NUMBER UNIT UNIT STRENGTH

J0456 UN

500 MG

500

MG

1

NDC GENERIC NAME

AZITHROMYCIN

Last update: September 18, 2017

Page 2 of 45

J0461 0.01 MG

Atropine sulfate injection

HCPC NDC UNIT NDC

NDC

NDC

NDC

NDC

CF

CODE QUALIFIER STRENGTH STRENGTH STRENGTH VOLUME VOLUME

NUMBER UNIT UNIT STRENGTH

J0461 ML

0.05MG/ML

0.05

MG

ML

1

5

J0461 ML 0.1 MG/ML

0.1

MG

ML

1

10

J0461 ML 0.4 MG/ML

0.4

MG

ML

1

40

J0461 ML

1 MG/ML

1

MG

ML

1

100

NDC GENERIC NAME

ATROPINE SULFATE ATROPINE SULFATE ATROPINE SULFATE ATROPINE SULFATE

J0475 10 MG

Baclofen 10 MG injection

HCPC NDC UNIT NDC

NDC

NDC

NDC

NDC

CF

CODE QUALIFIER STRENGTH STRENGTH STRENGTH VOLUME VOLUME

NUMBER UNIT UNIT STRENGTH

J0475 ML 10000/20ML 10000

MCG

ML

20

0.05

J0475 ML 2000MCG/ML 2000

MCG

ML

1

0.2

J0475 ML

20K MCG/20 20000

MCG

ML

20

0.1

J0475 ML 40000/20ML 40000

MCG

ML

20

0.2

J0475 ML 500 MCG/ML 500

MCG

ML

1

0.05

NDC GENERIC NAME

BACLOFEN BACLOFEN BACLOFEN BACLOFEN BACLOFEN

J0485 1 MG

Injection, belatacept, 1 mg

HCPC NDC UNIT NDC

NDC

NDC

NDC

NDC

CF

CODE QUALIFIER STRENGTH STRENGTH STRENGTH VOLUME VOLUME

NUMBER UNIT UNIT STRENGTH

J0485 UN

250 MG

250

MG

250

NDC GENERIC NAME

BELATACEPT

J0490 10 MG

Injection, belimumab, 10 mg

HCPC NDC UNIT NDC

NDC

NDC

NDC

NDC

CF

CODE QUALIFIER STRENGTH STRENGTH STRENGTH VOLUME VOLUME

NUMBER UNIT UNIT STRENGTH

J0490 UN

120 MG

120

MG

12

J0490 UN

400 MG

400

MG

40

J0500 20 MG

Dicyclomine injection

HCPC NDC UNIT NDC

NDC

NDC

NDC

NDC

CF

CODE QUALIFIER STRENGTH STRENGTH STRENGTH VOLUME VOLUME

NUMBER UNIT UNIT STRENGTH

J0500 ML

10 MG/ML

10

MG

ML

1

0.5

NDC GENERIC NAME

BELIMUMAB BELIMUMAB

NDC GENERIC NAME

DICYCLOMINE HCL

Last update: September 18, 2017

Page 3 of 45

J0515 1 MG

Inj benztropine mesylate

HCPC NDC UNIT NDC

NDC

NDC

NDC

NDC

CF

CODE QUALIFIER STRENGTH STRENGTH STRENGTH VOLUME VOLUME

NUMBER UNIT UNIT STRENGTH

J0515 ML

2 MG/2 ML

2

MG

ML

2

1

NDC GENERIC NAME

BENZTROPINE MESYLATE

J0585 1 UNIT

Botulinum toxin type A, per unit

HCPC NDC UNIT NDC

NDC

NDC

NDC

NDC

CF

CODE QUALIFIER STRENGTH STRENGTH STRENGTH VOLUME VOLUME

NUMBER UNIT UNIT STRENGTH

J0585 UN

100 UNIT

100

UNIT

100

J0585 UN

200 UNIT

200

UNIT

200

J0585 UN

50 UNIT

50

UNIT

50

NDC GENERIC NAME

ONABOTULINUMTOXINA ONABOTULINUMTOXINA ONABOTULINUMTOXINA

J0587 100 UNITS

Inj, rimabotulinumtoxinB

HCPC NDC UNIT NDC

NDC

NDC

NDC

NDC

CF

CODE QUALIFIER STRENGTH STRENGTH STRENGTH VOLUME VOLUME

NUMBER UNIT UNIT STRENGTH

J0587 ML

10000/2ML

10000

UNITS

ML

2

50

J0587 ML

2500/0.5ML

2500

UNITS

ML

0.5

50

J0587 ML

5000/ML

5000

UNITS

ML

1

50

NDC GENERIC NAME

RIMABOTULINUMTOXINB RIMABOTULINUMTOXINB RIMABOTULINUMTOXINB

J0588 1 UNIT

Injection, incobotulinumtoxinA, 1 unit

HCPC NDC UNIT NDC

NDC

NDC

NDC

NDC

CF

CODE QUALIFIER STRENGTH STRENGTH STRENGTH VOLUME VOLUME

NUMBER UNIT UNIT STRENGTH

NDC GENERIC NAME

J0588 UN

100 UNIT

100

UNIT

100 INCOBOTULINUMTOXINA

J0588 UN

50 UNIT

50

UNIT

50 INCOBOTULINUMTOXINA

J0610 10 ML

Calcium gluconate injection

HCPC NDC UNIT NDC

NDC

NDC

NDC

NDC

CF

CODE QUALIFIER STRENGTH STRENGTH STRENGTH VOLUME VOLUME

NUMBER UNIT UNIT STRENGTH

J0610 ML 100 MG/ML

100

MG

ML

1

0.1

NDC GENERIC NAME

CALCIUM GLUCONATE

J0636 0.1 MCG

Inj calcitriol per 0.1 mcg

HCPC NDC UNIT NDC

NDC

NDC

NDC

NDC

CF

CODE QUALIFIER STRENGTH STRENGTH STRENGTH VOLUME VOLUME

NUMBER UNIT UNIT STRENGTH

J0636 ML

1 MCG/ML

1

MCG

ML

1

10

NDC GENERIC NAME

CALCITRIOL

Last update: September 18, 2017

Page 4 of 45

J0640 50 MG

Injection, leucovorin calcium, per 50 mg

HCPC NDC UNIT NDC

NDC

NDC

NDC

NDC

CF

CODE QUALIFIER STRENGTH STRENGTH STRENGTH VOLUME VOLUME

NUMBER UNIT UNIT STRENGTH

NDC GENERIC NAME

J0640 UN

100 MG

100

MG

2

LEUCOVORIN CALCIUM

J0640 UN

200 MG

200

MG

4

LEUCOVORIN CALCIUM

J0640 UN

350 MG

350

MG

7

LEUCOVORIN CALCIUM

J0640 UN

50 MG

50

MG

1

LEUCOVORIN CALCIUM

J0640 ML 500MG/50ML 500

MG

ML

50

0.2 LEUCOVORIN CALCIUM

J0640 UN

500 MG

500

MG

10 LEUCOVORIN CALCIUM

J0641 0.5 MG

Injection, levoleucovorin calcium, 0.5 mg

HCPC NDC UNIT NDC

NDC

NDC

NDC

NDC

CF

CODE QUALIFIER STRENGTH STRENGTH STRENGTH VOLUME VOLUME

NUMBER UNIT UNIT STRENGTH

NDC GENERIC NAME

J0641 UN

50 MG

50

MG

100 LEVOLEUCOVORIN CALCIUM

J0690 500 MG

Cefazolin sodium injection

HCPC NDC UNIT NDC

NDC

NDC

NDC

NDC

CF

CODE QUALIFIER STRENGTH STRENGTH STRENGTH VOLUME VOLUME

NUMBER UNIT UNIT STRENGTH

J0690 ML

1 G/50 ML

1

GM

ML

50

0.04

J0690 UN

1 G

1

GM

2

J0690 UN

10 G

10

GM

20

J0690 ML

2 G/50 ML

2

GM

ML

50

0.08

J0690 UN

20 G

20

GM

40

J0690 UN

500 MG

500

MG

1

NDC GENERIC NAME

CEFAZOLIN SODIUM/DEXTROSE,ISO CEFAZOLIN SODIUM CEFAZOLIN SODIUM CEFAZOLIN SODIUM/DEXTROSE,ISO CEFAZOLIN SODIUM CEFAZOLIN SODIUM

J0692 500 MG

Cefepime HCl for injection

HCPC NDC UNIT NDC

NDC

NDC

NDC

NDC

CF

CODE QUALIFIER STRENGTH STRENGTH STRENGTH VOLUME VOLUME

NUMBER UNIT UNIT STRENGTH

J0692 ML

1 G/50 ML

1

GM

ML

50

0.04

J0692 ML

1 G/50 ML

1

GM

ML

50

0.04

J0692 UN

1 G

1

GM

2

J0692 ML

2 G/50 ML

2

GM

ML

50

0.08

J0692 ML

2 G/100 ML

2

GM

ML

100

0.04

J0692 UN

2 G

2

GM

4

NDC GENERIC NAME

CEFEPIME HCL/DEXTROSE, ISO-OSM CEFEPIME HCL/D5W CEFEPIME HCL CEFEPIME HCL/D5W CEFEPIME HCL/DEXTROSE, ISO-OSM CEFEPIME HCL

Last update: September 18, 2017

Page 5 of 45

J0696 250 MG

Ceftriaxone sodium injection

HCPC NDC UNIT NDC

NDC

NDC

NDC

NDC

CF

CODE QUALIFIER STRENGTH STRENGTH STRENGTH VOLUME VOLUME

NUMBER UNIT UNIT STRENGTH

J0696 ML

1 G/50 ML

1

GM

ML

50

0.08

J0696 UN

1 G

1

GM

4

J0696 UN

10 G

10

GM

40

J0696 ML

2 G/50 ML

2

GM

ML

50

0.16

J0696 UN

2 G

2

GM

8

J0696 UN

250 MG

250

MG

1

J0696 UN

500 MG

500

MG

2

NDC GENERIC NAME

CEFTRIAXONE NA/DEXTROSE,ISO CEFTRIAXONE SODIUM CEFTRIAXONE SODIUM CEFTRIAXONE NA/DEXTROSE,ISO CEFTRIAXONE SODIUM CEFTRIAXONE SODIUM CEFTRIAXONE SODIUM

J0702 3 MG & 3 MG

Betamethasone acet&sod phosp

HCPC NDC UNIT NDC

NDC

NDC

NDC

NDC

CF

CODE QUALIFIER STRENGTH STRENGTH STRENGTH VOLUME VOLUME

NUMBER UNIT UNIT STRENGTH

J0702 ML

6 MG/ML

6

MG

ML

1

1

NDC GENERIC NAME

BETAMET ACET/BETAMET NA PH

J0713 500 MG

Inj ceftazidime per 500 mg

HCPC NDC UNIT NDC

NDC

NDC

NDC

NDC

CF

CODE QUALIFIER STRENGTH STRENGTH STRENGTH VOLUME VOLUME

NUMBER UNIT UNIT STRENGTH

J0713 ML

1 G/50 ML

1

GM

ML

50

0.04

J0713 UN

1 G

1

GM

2

J0713 ML

2 G/50 ML

2

GM

ML

50

0.08

J0713 UN

2 G

2

GM

4

J0713 UN

500 MG

500

MG

1

J0713 UN

6G

6

GM

12

NDC GENERIC NAME

CEFTAZIDIME NA/DEXTROSE,ISO CEFTAZIDIME PENTAHYDRATE CEFTAZIDIME NA/DEXTROSE,ISO CEFTAZIDIME PENTAHYDRATE CEFTAZIDIME PENTAHYDRATE CEFTAZIDIME PENTAHYDRATE

J0735 1 MG

Clonidine hydrochloride

HCPC NDC UNIT NDC

NDC

NDC

NDC

NDC

CF

CODE QUALIFIER STRENGTH STRENGTH STRENGTH VOLUME VOLUME

NUMBER UNIT UNIT STRENGTH

J0735 ML 1000MCG/10 1000

MCG

ML

10

0.1

J0735 ML 5000MCG/10 5000

MCG

ML

10

0.5

NDC GENERIC NAME

CLONIDINE HCL/PF CLONIDINE HCL/PF

Last update: September 18, 2017

Page 6 of 45

J0743 250 MG

Cilastatin sodium injection

HCPC NDC UNIT NDC

NDC

NDC

NDC

NDC

CF

CODE QUALIFIER STRENGTH STRENGTH STRENGTH VOLUME VOLUME

NUMBER UNIT UNIT STRENGTH

J0743 UN

250 MG

250

MG

1

J0743 UN

500 MG

500

MG

2

J0780 10 MG

Prochlorperazine injection

HCPC NDC UNIT NDC

NDC

NDC

NDC

NDC

CF

CODE QUALIFIER STRENGTH STRENGTH STRENGTH VOLUME VOLUME

NUMBER UNIT UNIT STRENGTH

J0780 ML 10 MG/2 ML

10

MG

ML

2

0.5

J0780 ML

5 MG/ML

5

MG

ML

1

0.5

J0800 40 UNITS

Corticotropin injection

HCPC NDC UNIT NDC

NDC

NDC

NDC

NDC

CF

CODE QUALIFIER STRENGTH STRENGTH STRENGTH VOLUME VOLUME

NUMBER UNIT UNIT STRENGTH

J0800 ML 80 UNIT/ML

80

UNITS

ML

1

2

NDC GENERIC NAME

IMIPENEM/CILASTATIN SODIUM IMIPENEM/CILASTATIN SODIUM

NDC GENERIC NAME

PROCHLORPERAZINE EDISYLATE PROCHLORPERAZINE EDISYLATE

NDC GENERIC NAME

CORTICOTROPIN

J0878 1 MG

Daptomycin injection

HCPC NDC UNIT NDC

NDC

NDC

NDC

NDC

CF

CODE QUALIFIER STRENGTH STRENGTH STRENGTH VOLUME VOLUME

NUMBER UNIT UNIT STRENGTH

J0878 UN

500 MG

500

MG

500

NDC GENERIC NAME

DAPTOMYCIN

Last update: September 18, 2017

Page 7 of 45

J0881 1 MCG

Injection, darbepoetin alfa, 1 microgram (non-ESRD use)

HCPC NDC UNIT NDC

NDC

NDC

NDC

NDC

CF

CODE QUALIFIER STRENGTH STRENGTH STRENGTH VOLUME VOLUME

NUMBER UNIT UNIT STRENGTH

NDC GENERIC NAME

J0881 ML 100MCG/0.5

100

MCG

ML

0.5

200 DARBEPOETIN ALFA IN POLYSORBAT

J0881 ML 100MCG/ML 100

MCG

ML

1

100 DARBEPOETIN ALFA IN ALBUMN SOL

J0881 ML 100 MCG/ML 100

MCG

ML

1

100 DARBEPOETIN ALFA IN POLYSORBAT

J0881 ML 150MCG/.75

150

MCG

ML

0.75

200 DARBEPOETIN ALFA IN POLYSORBAT

J0881 ML 150MCG/0.3

150

MCG

ML

0.3

500 DARBEPOETIN ALFA IN POLYSORBAT

J0881 ML 200MCG/ML

200

MCG

ML

1

200 DARBEPOETIN ALFA IN ALBUMN SOL

J0881 ML 200 MCG/ML 200

MCG

ML

1

200 DARBEPOETIN ALFA IN POLYSORBAT

J0881 ML 200MCG/0.4

200

MCG

ML

0.4

500 DARBEPOETIN ALFA IN POLYSORBAT

J0881 ML 25MCG/0.42

25

MCG

ML

0.42

59.524 DARBEPOETIN ALFA IN POLYSORBAT

J0881 ML 25MCG/ML

25

MCG

ML

1

25 DARBEPOETIN ALFA IN ALBUMN SOL

J0881 ML 25 MCG/ML

25

MCG

ML

1

25 DARBEPOETIN ALFA IN POLYSORBAT

J0881 ML 300MCG/0.6

300

MCG

ML

0.6

500 DARBEPOETIN ALFA IN POLYSORBAT

J0881 ML 300MCG/ML 300

MCG

ML

1

300 DARBEPOETIN ALFA IN POLYSORBAT

J0881 ML 40 MCG/0.4

40

MCG

ML

0.4

100 DARBEPOETIN ALFA IN POLYSORBAT

J0881 ML 40MCG/ML

40

MCG

ML

1

40 DARBEPOETIN ALFA IN POLYSORBAT

J0881 ML 500 MCG/ML 500

MCG

ML

1

500 DARBEPOETIN ALFA IN POLYSORBAT

J0881 ML 60MCG/ML

60

MCG

ML

1

60 DARBEPOETIN ALFA IN POLYSORBAT

J0881 ML 60MCG/0.3

60

MCG

ML

0.3

200 DARBEPOETIN ALFA IN POLYSORBAT

Last update: September 18, 2017

Page 8 of 45

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