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    HCPCS Details

    HCPC J1170
    Short Description Hydromorphone injection
    Long Description Injection, hydromorphone, up to 4 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
    00409128305 J1170 Hydromorphone injection Hydromorphone Hcl PFIZER INC. 4 MG 0.5 10 0.125 1.25
    00409128331 J1170 Hydromorphone injection Hydromorphone Hcl PFIZER INC. 4 MG 1 10 0.25 2.5
    00409128337 J1170 Hydromorphone injection Hydromorphone HCl PFIZER INC. 4 MG 1 10 0.25 2.5
    00409130431 J1170 Hydromorphone injection Hydromorphone Hcl PFIZER INC. 4 MG 1 10 1 10
    00409131230 J1170 Hydromorphone injection Hydromorphone Hcl PFIZER INC. 4 MG 1 10 0.5 5
    00409131236 J1170 Hydromorphone injection Hydromorphone HCl PFIZER INC. 4 MG 1 10 0.5 5
    00409255201 J1170 Hydromorphone injection Hydromorphone Hcl PFIZER INC. 4 MG 1 10 0.25 2.5
    00409263401 J1170 Hydromorphone injection Hydromorphone Hcl PFIZER INC. 4 MG 1 10 2.5 25
    00409263405 J1170 Hydromorphone injection Hydromorphone Hcl PFIZER INC. 4 MG 5 10 12.5 125
    00409263450 J1170 Hydromorphone injection Hydromorphone Hcl PFIZER INC. 4 MG 50 1 125 125
    00409336501 J1170 Hydromorphone injection Hydromorphone Hcl PFIZER INC. 4 MG 1 25 0.5 12.5
    00409336510 J1170 Hydromorphone injection Hydromorphone Hcl PFIZER INC. 4 MG 1 10 0.5 5
    00409426401 J1170 Hydromorphone injection Hydromorphone HCl HOSPIRA, INC. 4 MG 0.5 10 0.125 1.25
    00641234141 J1170 Hydromorphone injection Hydromorphone Hcl HIKMA PHARMACEUTICALS USA INC. 4 MG 20 1 10 10
    00641615125 J1170 Hydromorphone injection Hydromorphone HCl HIKMA PHARMACEUTICALS USA INC. 4 MG 1 25 0.5 12.5
    00703001801 J1170 Hydromorphone injection HYDROMORPHONE HYDROCHLORIDE SICOR PHARMACEUTICALS, INC. 4 MG 50 1 125 125
    00703011003 J1170 Hydromorphone injection HYDROMORPHONE HYDROCHLORIDE SICOR PHARMACEUTICALS, INC. 4 MG 1 10 2.5 25
    00703011303 J1170 Hydromorphone injection HYDROMORPHONE HYDROCHLORIDE SICOR PHARMACEUTICALS, INC. 4 MG 5 10 12.5 125
    63323085110 J1170 Hydromorphone injection Hydromorphone Hcl FRESENIUS KABI 4 MG 1 10 2.5 25
    63323085115 J1170 Hydromorphone injection Hydromorphone Hcl FRESENIUS KABI 4 MG 5 10 12.5 125
    63323085150 J1170 Hydromorphone injection Hydromorphone Hcl FRESENIUS KABI 4 MG 50 1 125 125
    63323085225 J1170 Hydromorphone injection Hydromorphone Hcl FRESENIUS KABI 4 MG 1 25 0.25 6.25
    63323085325 J1170 Hydromorphone injection Hydromorphone Hcl FRESENIUS KABI 4 MG 1 25 0.5 12.5
    63323085410 J1170 Hydromorphone injection Hydromorphone Hcl FRESENIUS KABI 4 MG 1 25 1 25
    76045000906 J1170 Hydromorphone injection DILAUDID FRESENIUS KABI 4 MG 0.5 10 0.125 1.25
    76045000911 J1170 Hydromorphone injection DILAUDID FRESENIUS KABI 4 MG 1 10 0.25 2.5
    76045001011 J1170 Hydromorphone injection DILAUDID FRESENIUS KABI 4 MG 1 10 0.5 5
    76045012111 J1170 Hydromorphone injection Hydromorphone Hcl FRESENIUS KABI 4 MG 1 10 0.05 0.5
    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 4 MG
    HCPCS/CPT Billing Units 0.25
    Total doses ordered
    Billing Units 0.25

    Drug Details

    • Hydromorphone is used to relieve pain. Hydromorphone extended-release tablets are used to relieve severe pain in people who are expected to need pain medication around the clock for a long time and who cannot be treated with other medications. Hydromorphone extended-release tablets should only be used to treat people who are tolerant (used to the effects of the medication) to opioid medications because they have taken this type of medication for at least one week and should not be used to treat mild or moderate pain, short-term pain, pain after an operation or medical or dental procedure, or pain that can be controlled by medication that is taken as needed. Hydromorphone is in a class of medications called opiate (narcotic) analgesics. It works by changing the way the brain and nervous system respond to pain.