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    HCPCS Details

    HCPC J1265
    Short Description Dopamine injection
    Long Description Injection, dopamine hcl, 40 mg
    Pricing indicator 51
    Coverage code C
    ASC payment group code
    BETOS2 code O1E
    Action code N
    Type of service 1
    Effective date 2006-01-01
    Date Added 2006-01-01

    HCPCS/NDC Cross-Walk

    NDC HCPC Description Drug Name Labeler Name HCPCS Dosage PKG Size PKG QTY Bill Units Bill Units PKG
    00143925225 J1265 Dopamine injection DOPAMINE HIKMA PHARMACEUTICALS USA INC. 40 MG 5 25 5 125
    00143925425 J1265 Dopamine injection DOPAMINE HIKMA PHARMACEUTICALS USA INC. 40 MG 10 25 10 250
    00338100502 J1265 Dopamine injection Dopamine In D5W BAXTER 40 MG 250 18 5 90
    00338100503 J1265 Dopamine injection Dopamine In D5W BAXTER 40 MG 500 12 10 120
    00338100702 J1265 Dopamine injection Dopamine In D5W BAXTER 40 MG 250 18 10 180
    00338100703 J1265 Dopamine injection Dopamine In D5W BAXTER 40 MG 500 12 20 240
    00338100902 J1265 Dopamine injection Dopamine In D5W BAXTER 40 MG 250 18 20 360
    00404998110 J1265 Dopamine injection Dopamine HENRY SCHEIN, INC. 40 MG 10 1 10 10
    00404998205 J1265 Dopamine injection Dopamine HENRY SCHEIN, INC. 40 MG 5 1 5 5
    00409582001 J1265 Dopamine injection DOPAMINE 200MG/5ML PFIZER INC. 40 MG 5 25 5 125
    00409780922 J1265 Dopamine injection DOPAMINE HCL 400MGIN 5% DEXTROSE LIFECARE 250ML PFIZER INC. 40 MG 250 12 10 120
    00409780924 J1265 Dopamine injection Dopamine In D5W PFIZER INC. 40 MG 500 12 20 240
    00409781022 J1265 Dopamine injection DOPAMINE HCL 800MGIN 5% DEXTROSE LIFECARE 250ML PFIZER INC. 40 MG 250 12 20 240
    00409910420 J1265 Dopamine injection DOPAMINE PFIZER INC. 40 MG 10 25 10 250
    51662122001 J1265 Dopamine injection Dopamine HEALTHFIRST 40 MG 10 1 10 10
    51662122003 J1265 Dopamine injection Dopamine HEALTHFIRST 40 MG 10 25 10 250
    51662129103 J1265 Dopamine injection Dopamine HEALTHFIRST 40 MG 5 25 5 125
    51662131601 J1265 Dopamine injection Dopamine in D5W HEALTHFIRST 40 MG 250 1 10 10
    51662131603 J1265 Dopamine injection Dopamine in D5W HEALTHFIRST 40 MG 250 12 10 120
    51662145801 J1265 Dopamine injection Dopamine in D5W HEALTHFIRST 40 MG 500 1 20 20
    51662148901 J1265 Dopamine injection Dopamine HEALTHFIRST 40 MG 5 1 5 5
    51662148903 J1265 Dopamine injection Dopamine HEALTHFIRST 40 MG 5 25 5 125
    51662149001 J1265 Dopamine injection Dopamine HEALTHFIRST 40 MG 10 1 10 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 40 MG
    HCPCS/CPT Billing Units 0.025
    Total doses ordered
    Billing Units 0.025