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    HCPCS Details

    HCPC J1100
    Short Description Dexamethasone sodium phos
    Long Description Injection, dexamethasone sodium phosphate, 1 mg
    Pricing indicator 51
    Coverage code D
    ASC payment group code
    BETOS2 code O1E
    Action code N
    Type of service 1
    Effective date 2001-01-01
    Date Added 1982-01-01

    HCPCS/NDC Cross-Walk

    NDC HCPC Description Drug Name Labeler Name HCPCS Dosage PKG Size PKG QTY Bill Units Bill Units PKG
    00404984105 J1100 Dexamethasone sodium phos Dexamethasone Sodium Phosphate HENRY SCHEIN, INC. 1 MG 5 1 20 20
    00404984210 J1100 Dexamethasone sodium phos Dexamethasone Sodium Phosphate HENRY SCHEIN, INC. 1 MG 10 1 100 100
    00404984330 J1100 Dexamethasone sodium phos Dexamethasone Sodium Phosphate HENRY SCHEIN, INC. 1 MG 30 1 120 120
    00641036725 J1100 Dexamethasone sodium phos Dexamethasone Sodium Phosphate HIKMA PHARMACEUTICALS USA INC. 1 MG 1 25 10 250
    00641614525 J1100 Dexamethasone sodium phos Dexamethasone Sodium Phosphate HIKMA PHARMACEUTICALS USA INC. 1 MG 1 25 4 100
    00641614625 J1100 Dexamethasone sodium phos Dexamethasone Sodium Phosphate HIKMA PHARMACEUTICALS USA INC. 1 MG 5 25 20 500
    50090192200 J1100 Dexamethasone sodium phos Dexamethasone Sodium Phosphate A-S MEDICATION SOLUTIONS 1 MG 1 25 4 100
    50090231302 J1100 Dexamethasone sodium phos Dexamethasone Sodium Phosphate A-S MEDICATION SOLUTIONS 1 MG 5 25 20 500
    50090330000 J1100 Dexamethasone sodium phos Dexamethasone Sodium Phosphate A-S MEDICATION SOLUTIONS 1 MG 30 25 120 3000
    50090354100 J1100 Dexamethasone sodium phos Dexamethasone Sodium Phosphate A-S MEDICATION SOLUTIONS 1 MG 1 25 10 250
    51662129701 J1100 Dexamethasone sodium phos Dexamethasone Sodium Phosphate HEALTHFIRST 1 MG 5 1 20 20
    51662129703 J1100 Dexamethasone sodium phos Dexamethasone Sodium Phosphate HEALTHFIRST 1 MG 5 25 20 500
    51662134301 J1100 Dexamethasone sodium phos Dexamethasone Sodium Phosphate HEALTHFIRST 1 MG 1 1 10 10
    51662154101 J1100 Dexamethasone sodium phos Dexamethasone Sodium Phosphate HEALTHFIRST 1 MG 10 1 100 100
    52584042200 J1100 Dexamethasone sodium phos Dexamethasone Sodium Phosphate HENRY SCHEIN, INC. 1 MG 5 1 20 20
    55150023701 J1100 Dexamethasone sodium phos Dexamethasone Sodium Phosphate AUROMEDICS PHARMA LLC 1 MG 1 25 4 100
    55150023805 J1100 Dexamethasone sodium phos Dexamethasone Sodium Phosphate AUROMEDICS PHARMA LLC 1 MG 5 25 20 500
    55150023930 J1100 Dexamethasone sodium phos Dexamethasone Sodium Phosphate AUROMEDICS PHARMA LLC 1 MG 30 25 120 3000
    55150030425 J1100 Dexamethasone sodium phos Dexamethasone Sodium Phosphate AUROMEDICS PHARMA LLC 1 MG 1 25 10 250
    55150030510 J1100 Dexamethasone sodium phos Dexamethasone Sodium Phosphate AUROMEDICS PHARMA LLC 1 MG 10 10 100 1000
    63323016501 J1100 Dexamethasone sodium phos Dexamethasone Sodium Phosphate FRESENIUS KABI 1 MG 1 25 4 100
    63323016505 J1100 Dexamethasone sodium phos Dexamethasone Sodium Phosphate FRESENIUS KABI 1 MG 5 25 20 500
    63323016516 J1100 Dexamethasone sodium phos Dexamethasone Sodium Phosphate FRESENIUS KABI 1 MG 1 25 4 100
    63323016526 J1100 Dexamethasone sodium phos Dexamethasone Sodium Phosphate FRESENIUS KABI 1 MG 5 25 20 500
    63323016530 J1100 Dexamethasone sodium phos Dexamethasone Sodium Phosphate FRESENIUS KABI 1 MG 30 1 120 120
    63323050601 J1100 Dexamethasone sodium phos Dexamethasone Sodium Phosphate FRESENIUS KABI 1 MG 1 25 10 250
    63323050616 J1100 Dexamethasone sodium phos Dexamethasone Sodium Phosphate FRESENIUS KABI 1 MG 1 25 10 250
    63323051610 J1100 Dexamethasone sodium phos Dexamethasone Sodium Phosphate FRESENIUS KABI 1 MG 10 10 100 1000
    67457041805 J1100 Dexamethasone sodium phos Dexamethasone Sodium Phosphate MYLAN INSTITUTIONAL LLC 1 MG 5 25 20 500
    67457041901 J1100 Dexamethasone sodium phos Dexamethasone Sodium Phosphate MYLAN INSTITUTIONAL LLC 1 MG 1 25 4 100
    67457042010 J1100 Dexamethasone sodium phos Dexamethasone Sodium Phosphate MYLAN INSTITUTIONAL LLC 1 MG 10 10 100 1000
    67457042130 J1100 Dexamethasone sodium phos Dexamethasone Sodium Phosphate MYLAN INSTITUTIONAL LLC 1 MG 30 25 120 3000
    67457042254 J1100 Dexamethasone sodium phos Dexamethasone Sodium Phosphate MYLAN INSTITUTIONAL LLC 1 MG 5 25 20 500
    67457042312 J1100 Dexamethasone sodium phos Dexamethasone Sodium Phosphate MYLAN INSTITUTIONAL LLC 1 MG 1 25 4 100
    67457048310 J1100 Dexamethasone sodium phos Dexamethasone Sodium Phosphate MYLAN INSTITUTIONAL LLC 1 MG 10 10 100 1000
    67457048430 J1100 Dexamethasone sodium phos Dexamethasone Sodium Phosphate MYLAN INSTITUTIONAL LLC 1 MG 30 25 120 3000
    70121139905 J1100 Dexamethasone sodium phos Dexamethasone Sodium Phosphate AMNEAL PHARMACEUTICALS INC 1 MG 1 25 10 250
    72572012025 J1100 Dexamethasone sodium phos Dexamethasone Sodium Phosphate CIVICA INC 1 MG 1 25 4 100
    72572012225 J1100 Dexamethasone sodium phos Dexamethasone Sodium Phosphate CIVICA INC 1 MG 1 25 10 250
    76045010610 J1100 Dexamethasone sodium phos Dexamethasone Sodium Phosphate FRESENIUS KABI 1 MG 1 24 4 96
    76045010910 J1100 Dexamethasone sodium phos Dexamethasone Sodium Phosphate FRESENIUS KABI 1 MG 1 24 10 240
    81565020202 J1100 Dexamethasone sodium phos Dexamethasone Sodium Phosphate PHLOW CORP 1 MG 1 25 4 100
    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 1 MG
    HCPCS/CPT Billing Units 1
    Total doses ordered
    Billing Units 1