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    HCPCS Details

    HCPC J1200
    Short Description Diphenhydramine hcl injectio
    Long Description Injection, diphenhydramine hcl, up to 50 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
    00404985101 J1200 Diphenhydramine hcl injectio Diphenhydramine HCl HENRY SCHEIN, INC. 50 MG 1 1 1 1
    00641037625 J1200 Diphenhydramine hcl injectio Diphenhydramine Hcl HIKMA PHARMACEUTICALS USA INC. 50 MG 1 25 1 25
    50090184100 J1200 Diphenhydramine hcl injectio Diphenhydramine HCl A-S MEDICATION SOLUTIONS 50 MG 1 25 1 25
    51662121901 J1200 Diphenhydramine hcl injectio Diphenhydramine HCl HEALTHFIRST 50 MG 1 1 1 1
    51662121903 J1200 Diphenhydramine hcl injectio Diphenhydramine HCl HEALTHFIRST 50 MG 1 25 1 25
    63323066401 J1200 Diphenhydramine hcl injectio Diphenhydramine Hcl FRESENIUS KABI 50 MG 1 25 1 25
    63323066416 J1200 Diphenhydramine hcl injectio Diphenhydramine Hcl FRESENIUS KABI 50 MG 1 25 1 25
    67457012410 J1200 Diphenhydramine hcl injectio Benadryl MYLAN INSTITUTIONAL LLC 50 MG 10 1 10 10
    72485010105 J1200 Diphenhydramine hcl injectio Diphenhydramine HCl ARMAS PHARMACEUTICALS, INC. 50 MG 1 5 1 5
    72485010125 J1200 Diphenhydramine hcl injectio Diphenhydramine Hcl ARMAS PHARMACEUTICALS, INC. 50 MG 1 25 1 25
    76045010210 J1200 Diphenhydramine hcl injectio Diphenhydramine Hcl FRESENIUS KABI 50 MG 1 24 1 24
    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 50 MG
    HCPCS/CPT Billing Units 0.02
    Total doses ordered
    Billing Units 0.02