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    HCPCS Details

    HCPC J1250
    Short Description Inj dobutamine hcl/250 mg
    Long Description Injection, dobutamine hydrochloride, per 250 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 1996-01-01

    HCPCS/NDC Cross-Walk

    NDC HCPC Description Drug Name Labeler Name HCPCS Dosage PKG Size PKG QTY Bill Units Bill Units PKG
    00143914110 J1250 Inj dobutamine hcl/250 mg Dobutamine HCl HIKMA PHARMACEUTICALS USA INC. 250 MG 20 10 1 10
    00338107302 J1250 Inj dobutamine hcl/250 mg Dobutamine HCl BAXTER 250 MG 250 18 1 18
    00338107502 J1250 Inj dobutamine hcl/250 mg Dobutamine HCl BAXTER 250 MG 250 18 2 36
    00338107702 J1250 Inj dobutamine hcl/250 mg Dobutamine HCl BAXTER 250 MG 250 18 4 72
    00409234401 J1250 Inj dobutamine hcl/250 mg Dobutamine HCl PFIZER INC. 250 MG 20 1 1 1
    00409234402 J1250 Inj dobutamine hcl/250 mg Dobutamine HCl PFIZER INC. 250 MG 20 10 1 10
    00409234488 J1250 Inj dobutamine hcl/250 mg Dobutamine HCl PFIZER INC. 250 MG 20 10 1 10
    51662133001 J1250 Inj dobutamine hcl/250 mg Dobutamine HCl HEALTHFIRST 250 MG 250 1 2 2
    51662133701 J1250 Inj dobutamine hcl/250 mg Dobutamine HCl HEALTHFIRST 250 MG 20 1 1 1
    51662133703 J1250 Inj dobutamine hcl/250 mg Dobutamine HCl HEALTHFIRST 250 MG 20 10 1 10
    51662156601 J1250 Inj dobutamine hcl/250 mg Dobutamine HCl HEALTHFIRST 250 MG 250 1 1 1
    70436020382 J1250 Inj dobutamine hcl/250 mg Dobutamine HCl SLATE RUN PHARMACEUTICALS, LLC 250 MG 20 10 1 10
    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