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    HCPCS Details

    HCPC J0133
    Short Description Acyclovir injection
    Long Description Injection, acyclovir, 5 mg
    Pricing indicator 51
    Coverage code C
    ASC payment group code
    BETOS2 code O1E
    Action code N
    Type of service 1
    Effective date 2006-01-01
    Date Added 2006-01-01

    HCPCS/NDC Cross-Walk

    NDC HCPC Description Drug Name Labeler Name HCPCS Dosage PKG Size PKG QTY Bill Units Bill Units PKG
    55150015410 J0133 Acyclovir injection Acyclovir Sodium AUROMEDICS PHARMA LLC 5 MG 10 10 100 1000
    55150015520 J0133 Acyclovir injection Acyclovir Sodium AUROMEDICS PHARMA LLC 5 MG 20 10 200 2000
    63323032510 J0133 Acyclovir injection Acyclovir Sodium FRESENIUS KABI 5 MG 20 10 100 1000
    63323032514 J0133 Acyclovir injection Acyclovir Sodium FRESENIUS KABI 5 MG 10 10 100 1000
    63323032520 J0133 Acyclovir injection Acyclovir Sodium FRESENIUS KABI 5 MG 20 10 200 2000
    63323032524 J0133 Acyclovir injection Acyclovir Sodium FRESENIUS KABI 5 MG 20 10 200 2000
    68382004810 J0133 Acyclovir injection Acyclovir Sodium ZYDUS PHARMACEUTICALS 5 MG 10 10 100 1000
    68382004910 J0133 Acyclovir injection Acyclovir Sodium ZYDUS PHARMACEUTICALS 5 MG 20 10 200 2000
    The ASP crosswalks are maintained by the Division of Data Analysis and Market Based Pricing to support ASP-based Medicare Part B payments only. The crosswalks are intended to help the public (including entities that submit manufacturer ASP data and providers who bill for drugs) understand which drug products (identified by NDCs) are assigned to which HCPCS billing codes. The crosswalks are not intended to be a comprehensive list of all drugs/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 (as defined by the HCPCS code descriptor). Comments on the file may be sent to [email protected].

    HCPCS Billing Calculator

    Dosage given to patient (per dose)
    HCPCS Dosage 5 MG
    HCPCS/CPT Billing Units 0.2
    Total doses ordered
    Billing Units 0.2

    Drug Details

    • Acyclovir is used to decrease pain and speed the healing of sores or blisters in people who have varicella (chickenpox), herpes zoster (shingles; a rash that can occur in people who have had chickenpox in the past), and first-time or repeat outbreaks of genital herpes (a herpes virus infection that causes sores to form around the genitals and rectum from time to time). Acyclovir is also sometimes used to prevent outbreaks of genital herpes in people who are infected with the virus. Acyclovir is in a class of antiviral medications called synthetic nucleoside analogues. It works by stopping the spread of the herpes virus in the body. Acyclovir will not cure genital herpes and may not stop the spread of genital herpes to other people.