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    HCPCS Details

    HCPC J1120
    Short Description Acetazolamid sodium injectio
    Long Description Injection, acetazolamide sodium, up to 500 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 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
    00143900601 J1120 Acetazolamid sodium injectio Acetazolamide Sodium HIKMA PHARMACEUTICALS USA INC. 500 MG 1 1 1 1
    00143950301 J1120 Acetazolamid sodium injectio Acetazolamide Sodium HIKMA PHARMACEUTICALS USA INC. 500 MG 1 1 1 1
    23155031331 J1120 Acetazolamid sodium injectio Acetazolamide Sodium HERITAGE PHARMACEUTICALS, INC. 500 MG 1 1 1 1
    23155083131 J1120 Acetazolamid sodium injectio ACETAZOLAMIDE AVET PHARMACEUTICALS, INC. 500 MG 1 1 1 1
    39822019001 J1120 Acetazolamid sodium injectio Acetazolamide Sodium X-GEN PHARMACEUTICALS INC 500 MG 1 1 1 1
    39822019007 J1120 Acetazolamid sodium injectio Acetazolamide Sodium X-GEN PHARMACEUTICALS INC 500 MG 1 1 1 1
    67457085350 J1120 Acetazolamid sodium injectio Acetazolamide Sodium MYLAN INSTITUTIONAL LLC 500 MG 1 1 1 1
    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 500 MG
    HCPCS/CPT Billing Units 0.002
    Total doses ordered
    Billing Units 0.002