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    HCPCS Details

    HCPC J1190
    Short Description Dexrazoxane hcl injection
    Long Description Injection, dexrazoxane hydrochloride, per 250 mg
    Pricing indicator 51
    Coverage code D
    ASC payment group code YY
    BETOS2 code O1E
    Action code N
    Type of service 1
    Effective date 1997-01-01
    Date Added 1997-01-01

    HCPCS/NDC Cross-Walk

    NDC HCPC Description Drug Name Labeler Name HCPCS Dosage PKG Size PKG QTY Bill Units Bill Units PKG
    00143924701 J1190 Dexrazoxane hcl injection DEXRAZOXANE HIKMA PHARMACEUTICALS USA INC. 250 MG 1 1 1 1
    00143924801 J1190 Dexrazoxane hcl injection DEXRAZOXANE HIKMA PHARMACEUTICALS USA INC. 250 MG 1 1 2 2
    47781057807 J1190 Dexrazoxane hcl injection DEXRAZOXANE ALVOGEN 250 MG 1 1 2 2
    51991094298 J1190 Dexrazoxane hcl injection DEXRAZOXANE BRECKENRIDGE PHARMACEUTICAL 250 MG 1 1 2 2
    55150043401 J1190 Dexrazoxane hcl injection Dexrazoxane EUGIA US LLC 250 MG 1 1 1 1
    55150043402 J1190 Dexrazoxane hcl injection DEXRAZOXANE AUROMEDICS PHARMA LLC 250 MG 1 1 1 1
    55150043701 J1190 Dexrazoxane hcl injection Dexrazoxane EUGIA US LLC 250 MG 1 1 2 2
    67457020725 J1190 Dexrazoxane hcl injection DEXRAZOXANE MYLAN INSTITUTIONAL INC. 250 MG 1 1 1 1
    67457020850 J1190 Dexrazoxane hcl injection DEXRAZOXANE MYLAN INSTITUTIONAL INC. 250 MG 1 1 2 2
    72266010101 J1190 Dexrazoxane hcl injection DEXRAZOXANE FOSUN PHARMA 250 MG 1 1 2 2
    72266023501 J1190 Dexrazoxane hcl injection Dexrazoxane Fosun Pharma Usa Inc. 250 MG 1 1 1 1
    72611071601 J1190 Dexrazoxane hcl injection DEXRAZOXANE Almaject, Inc. 250 MG 1 1 2 2
    72611071672 J1190 Dexrazoxane hcl injection DEXRAZOXANE ALMAJECT, INC. 250 MG 1 1 2 2
    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