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    HCPCS Details

    HCPC J0743
    Short Description Cilastatin sodium injection
    Long Description Injection, cilastatin sodium; imipenem, per 250 mg
    Pricing indicator 51
    Coverage code D
    ASC payment group code
    BETOS2 code O1E
    Action code N
    Type of service 1
    Effective date 1997-01-01
    Date Added 1993-01-01

    HCPCS/NDC Cross-Walk

    NDC HCPC Description Drug Name Labeler Name HCPCS Dosage PKG Size PKG QTY Bill Units Bill Units PKG
    00006351659 J0743 Cilastatin sodium injection Primaxin Iv MERCK SHARP & DOHME CORP. 250 MG 1 25 2 50
    44567070510 J0743 Cilastatin sodium injection Imipenem/Cilastatin Wg Critical Care 250 MG 1 10 2 20
    63323032225 J0743 Cilastatin sodium injection IMIPENEM AND CILASTATIN FRESENIUS KABI 250 MG 1 25 2 50
    63323032293 J0743 Cilastatin sodium injection IMIPENEM AND CILASTATIN FRESENIUS KABI 250 MG 1 25 2 50
    63323032294 J0743 Cilastatin sodium injection IMIPENEM AND CILASTATIN FRESENIUS KABI 250 MG 1 25 2 50
    63323034925 J0743 Cilastatin sodium injection IMIPENEM AND CILASTATIN FRESENIUS KABI 250 MG 1 25 1 25
    63323034993 J0743 Cilastatin sodium injection IMIPENEM AND CILASTATIN FRESENIUS KABI 250 MG 1 25 1 25
    63323034994 J0743 Cilastatin sodium injection IMIPENEM AND CILASTATIN FRESENIUS KABI 250 MG 1 25 1 25
    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 250 MG
    HCPCS/CPT Billing Units 0.004
    Total doses ordered
    Billing Units 0.004