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    HCPCS Details

    HCPC J1447
    Short Description Inj tbo filgrastim 1 microg
    Long Description Injection, tbo-filgrastim, 1 microgram
    Pricing indicator 51
    Coverage code D
    ASC payment group code YY
    BETOS2 code O1E
    Action code N
    Type of service 1
    Effective date 2016-01-01
    Date Added 2016-01-01

    HCPCS/NDC Cross-Walk

    NDC HCPC Description Drug Name Labeler Name HCPCS Dosage PKG Size PKG QTY Bill Units Bill Units PKG
    63459091011 J1447 Inj tbo filgrastim 1 microg GRANIX CEPHALON INC. 1 MCG 0.5 1 300 300
    63459091015 J1447 Inj tbo filgrastim 1 microg GRANIX CEPHALON INC. 1 MCG 0.5 10 300 3000
    63459091017 J1447 Inj tbo filgrastim 1 microg GRANIX CEPHALON INC. 1 MCG 0.5 1 300 300
    63459091036 J1447 Inj tbo filgrastim 1 microg GRANIX CEPHALON INC. 1 MCG 0.5 5 300 1500
    63459091211 J1447 Inj tbo filgrastim 1 microg GRANIX CEPHALON INC. 1 MCG 0.8 1 480 480
    63459091215 J1447 Inj tbo filgrastim 1 microg GRANIX CEPHALON INC. 1 MCG 0.8 10 480 4800
    63459091217 J1447 Inj tbo filgrastim 1 microg GRANIX CEPHALON INC. 1 MCG 0.8 1 480 480
    63459091236 J1447 Inj tbo filgrastim 1 microg GRANIX CEPHALON INC. 1 MCG 0.8 5 480 2400
    63459091859 J1447 Inj tbo filgrastim 1 microg GRANIX CEPHALON INC. 1 MCG 1 10 300 3000
    63459092059 J1447 Inj tbo filgrastim 1 microg GRANIX CEPHALON INC. 1 MCG 1.6 10 480 4800
    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 1 MCG
    HCPCS/CPT Billing Units 1
    Total doses ordered
    Billing Units 1