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    HCPCS Details

    HCPC J0153
    Short Description Adenosine inj 1mg
    Long Description Injection, adenosine, 1 mg (not to be used to report any adenosine phosphate compounds)
    Pricing indicator 51
    Coverage code D
    ASC payment group code
    BETOS2 code O1E
    Action code N
    Type of service 1
    Effective date 2015-01-01
    Date Added 2015-01-01

    HCPCS/NDC Cross-Walk

    NDC HCPC Description Drug Name Labeler Name HCPCS Dosage PKG Size PKG QTY Bill Units Bill Units PKG
    00409193201 J0153 Adenosine inj 1mg Adenosine PFIZER INC. 1 MG 20 1 60 60
    00409193202 J0153 Adenosine inj 1mg Adenosine PFIZER INC. 1 MG 30 1 90 90
    00703877601 J0153 Adenosine inj 1mg Adenosine SICOR PHARMACEUTICALS, INC. 1 MG 20 1 60 60
    00703877701 J0153 Adenosine inj 1mg Adenosine SICOR PHARMACEUTICALS, INC. 1 MG 30 1 90 90
    16714018001 J0153 Adenosine inj 1mg Adenosine NORTHSTAR RX LLC 1 MG 20 1 60 60
    16714097201 J0153 Adenosine inj 1mg Adenosine NORTHSTAR RX LLC 1 MG 30 1 90 90
    17478054202 J0153 Adenosine inj 1mg ADENOSINE AKORN 1 MG 2 10 6 60
    17478054225 J0153 Adenosine inj 1mg Adenosine AKORN 1 MG 2 25 6 150
    17478054420 J0153 Adenosine inj 1mg Adenosine AKORN 1 MG 20 1 60 60
    17478054430 J0153 Adenosine inj 1mg Adenosine AKORN 1 MG 30 1 90 90
    17478095302 J0153 Adenosine inj 1mg Adenosine AKORN 1 MG 2 10 6 60
    25021030167 J0153 Adenosine inj 1mg Adenosine SAGENT PHARMACEUTICALS INC 1 MG 2 10 6 60
    25021030168 J0153 Adenosine inj 1mg Adenosine SAGENT PHARMACEUTICALS INC 1 MG 4 10 12 120
    55150019201 J0153 Adenosine inj 1mg ADENOSINE AUROMEDICS PHARMA LLC 1 MG 20 1 60 60
    55150019220 J0153 Adenosine inj 1mg Adenoscan AUROMEDICS PHARMA LLC 1 MG 20 10 60 600
    55150019301 J0153 Adenosine inj 1mg ADENOSINE AUROMEDICS PHARMA LLC 1 MG 30 1 90 90
    55150019330 J0153 Adenosine inj 1mg Adenoscan AUROMEDICS PHARMA LLC 1 MG 30 10 90 900
    63323065102 J0153 Adenosine inj 1mg Adenosine FRESENIUS KABI 1 MG 2 10 6 60
    63323065104 J0153 Adenosine inj 1mg Adenosine FRESENIUS KABI 1 MG 4 10 12 120
    63323065120 J0153 Adenosine inj 1mg Adenosine FRESENIUS KABI 1 MG 20 1 60 60
    63323065130 J0153 Adenosine inj 1mg Adenosine FRESENIUS KABI 1 MG 30 1 90 90
    63323065189 J0153 Adenosine inj 1mg Adenosine FRESENIUS KABI 1 MG 2 10 6 60
    63323065190 J0153 Adenosine inj 1mg Adenosine FRESENIUS KABI 1 MG 4 10 12 120
    67457085404 J0153 Adenosine inj 1mg ADENOSINE MYLAN INSTITUTIONAL LLC 1 MG 4 10 12 120
    67457085502 J0153 Adenosine inj 1mg ADENOSINE MYLAN INSTITUTIONAL LLC 1 MG 2 10 6 60
    67457085620 J0153 Adenosine inj 1mg Adenosine MYLAN INSTITUTIONAL LLC 1 MG 20 1 60 60
    67457085730 J0153 Adenosine inj 1mg Adenosine MYLAN INSTITUTIONAL LLC 1 MG 30 1 90 90
    67457085820 J0153 Adenosine inj 1mg ADENOSINE MYLAN INSTITUTIONAL LLC 1 MG 20 1 60 60
    67457085930 J0153 Adenosine inj 1mg Adenosine MYLAN INSTITUTIONAL LLC 1 MG 30 1 90 90
    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 sec303aspdata@cms.hhs.gov.

    HCPCS Billing Calculator

    Dosage given to patient (per dose)
    HCPCS Dosage 1 MG
    HCPCS/CPT Billing Units 1
    Total doses ordered
    Billing Units 1