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    HCPCS Details

    HCPC J1580
    Short Description Garamycin gentamicin inj
    Long Description Injection, garamycin, gentamicin, up to 80 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 1984-01-01

    HCPCS/NDC Cross-Walk

    NDC HCPC Description Drug Name Labeler Name HCPCS Dosage PKG Size PKG QTY Bill Units Bill Units PKG
    00143912825 J1580 Garamycin gentamicin inj Gentamicin Sulfate Hikma Pharmaceuticals Usa 80 MG 2 25 1 25
    00338050348 J1580 Garamycin gentamicin inj Gentamicin Sulfate BAXTER 80 MG 100 1 1 1
    00338050548 J1580 Garamycin gentamicin inj Gentamicin Sulfate BAXTER 80 MG 100 1 1.25 1.25
    00338050741 J1580 Garamycin gentamicin inj Gentamicin Sulfate BAXTER 80 MG 50 1 0.75 0.75
    00338050748 J1580 Garamycin gentamicin inj Gentamicin Sulfate BAXTER 80 MG 100 1 1.5 1.5
    00338050941 J1580 Garamycin gentamicin inj Gentamicin Sulfate BAXTER 80 MG 50 1 1 1
    00338051141 J1580 Garamycin gentamicin inj Gentamicin Sulfate BAXTER 80 MG 50 1 1.25 1.25
    00404986620 J1580 Garamycin gentamicin inj Gentamicin Sulfate HENRY SCHEIN, INC. 80 MG 20 1 10 10
    00409120703 J1580 Garamycin gentamicin inj Gentamicin Sulfate PFIZER INC. 80 MG 2 25 1 25
    00409120725 J1580 Garamycin gentamicin inj Gentamicin Sulfate PFIZER INC. 80 MG 2 25 1 25
    51662150803 J1580 Garamycin gentamicin inj Gentamicin HEALTHFIRST 80 MG 20 25 10 250
    63323001002 J1580 Garamycin gentamicin inj Gentamicin Sulfate FRESENIUS KABI 80 MG 2 25 1 25
    63323001020 J1580 Garamycin gentamicin inj Gentamicin Sulfate FRESENIUS KABI 80 MG 20 25 10 250
    63323001094 J1580 Garamycin gentamicin inj Gentamicin Sulfate FRESENIUS KABI 80 MG 2 25 1 25
    63323001095 J1580 Garamycin gentamicin inj Gentamicin Sulfate FRESENIUS KABI 80 MG 20 25 10 250
    63323017302 J1580 Garamycin gentamicin inj Gentamicin Sulfate FRESENIUS KABI 80 MG 2 25 0.25 6.25
    63323017394 J1580 Garamycin gentamicin inj Gentamicin Sulfate FRESENIUS KABI 80 MG 2 25 0.25 6.25
    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 80 MG
    HCPCS/CPT Billing Units 0.0125
    Total doses ordered
    Billing Units 0.0125