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    HCPCS Details

    HCPC J1205
    Short Description Chlorothiazide sodium inj
    Long Description Injection, chlorothiazide sodium, per 500 mg
    Pricing indicator 51
    Coverage code D
    ASC payment group code
    BETOS2 code O1E
    Action code N
    Type of service 1
    Effective date 2018-01-01
    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
    00517182001 J1205 Chlorothiazide sodium inj Chlorothiazide Sodium AMERICAN REGENT 500 MG 1 1 1 1
    25021030520 J1205 Chlorothiazide sodium inj Chlorothiazide Sodium SAGENT PHARMACEUTICALS INC 500 MG 1 1 1 1
    25021030566 J1205 Chlorothiazide sodium inj Chlorothiazide Sodium SAGENT PHARMACEUTICALS INC 500 MG 1 1 1 1
    47335033040 J1205 Chlorothiazide sodium inj Chlorothiazide Sodium SUN PHARMACEUTICAL GLOBAL FZE. 500 MG 1 1 1 1
    63323065820 J1205 Chlorothiazide sodium inj Chlorothiazide Sodium FRESENIUS KABI 500 MG 1 1 1 1
    63323065827 J1205 Chlorothiazide sodium inj Chlorothiazide Sodium FRESENIUS KABI 500 MG 1 1 1 1
    63323065894 J1205 Chlorothiazide sodium inj Chlorothiazide Sodium FRESENIUS KABI 500 MG 1 1 1 1
    76478071140 J1205 Chlorothiazide sodium inj Diuril IV OAK 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