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    HCPCS Details

    HCPC J1920
    Short Description Inj, labetalol hcl, 5mg
    Long Description Injection, labetalol hydrochloride, 5 mg
    Pricing indicator 51
    Coverage code C
    ASC payment group code YY
    BETOS2 code O1E
    Action code P
    Type of service 1
    Effective date 2024-01-01
    Date Added 2023-07-01

    HCPCS/NDC Cross-Walk

    NDC HCPC Description Drug Name Labeler Name HCPCS Dosage PKG Size PKG QTY Bill Units Bill Units PKG
    00143932001 J1920 Inj, labetalol hcl, 5mg Labetalol HCl HIKMA PHARMACEUTICALS USA INC. 5 MG 20 1 20 20
    00143962201 J1920 Inj, labetalol hcl, 5mg Labetalol Hcl HIKMA PHARMACEUTICALS USA INC. 5 MG 20 1 20 20
    00143962301 J1920 Inj, labetalol hcl, 5mg Labetalol Hcl HIKMA PHARMACEUTICALS USA INC. 5 MG 40 1 40 40
    00409012525 J1920 Inj, labetalol hcl, 5mg LABETALOL HCL HOSPIRA, INC. 5 MG 20 25 20 500
    25021031720 J1920 Inj, labetalol hcl, 5mg Labetalol HCl SAGENT PHARMACEUTICALS, INC. 5 MG 20 1 20 20
    25021031740 J1920 Inj, labetalol hcl, 5mg Labetalol HCl SAGENT PHARMACEUTICALS, INC. 5 MG 40 1 40 40
    36000032010 J1920 Inj, labetalol hcl, 5mg Labetalol Hcl BAXTER 5 MG 4 10 4 40
    36000032202 J1920 Inj, labetalol hcl, 5mg Labetalol Hcl BAXTER 5 MG 20 1 20 20
    36000032402 J1920 Inj, labetalol hcl, 5mg Labetalol Hcl BAXTER 5 MG 40 1 40 40
    47781058629 J1920 Inj, labetalol hcl, 5mg Labetalol Hcl ALVOGEN 5 MG 20 1 20 20
    47781058656 J1920 Inj, labetalol hcl, 5mg Labetalol Hcl ALVOGEN 5 MG 40 1 40 40
    51662122801 J1920 Inj, labetalol hcl, 5mg Labetalol HCl HEALTHFIRST 5 MG 20 1 20 20
    51662160201 J1920 Inj, labetalol hcl, 5mg Labetalol HCl HEALTHFIRST 5 MG 20 1 20 20
    72266010201 J1920 Inj, labetalol hcl, 5mg Labetalol Hcl FOSUN PHARMA 5 MG 20 1 20 20
    72266010301 J1920 Inj, labetalol hcl, 5mg Labetalol Hcl FOSUN PHARMA 5 MG 40 1 40 40
    72266010341 J1920 Inj, labetalol hcl, 5mg Labetalol HCl FOSUN PHARMA 5 MG 40 1 40 40
    72572035001 J1920 Inj, labetalol hcl, 5mg Labetalol HCl CIVICA INC 5 MG 20 1 20 20
    72603014601 J1920 Inj, labetalol hcl, 5mg Labetalol HCl NORTHSTAR RX LLC 5 MG 20 1 20 20
    72611073401 J1920 Inj, labetalol hcl, 5mg LABETALOL HCl ALVOGEN 5 MG 20 1 20 20
    72611073801 J1920 Inj, labetalol hcl, 5mg LABETALOL HCl ALVOGEN 5 MG 40 1 40 40
    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 5 MG
    HCPCS/CPT Billing Units 0.2
    Total doses ordered
    Billing Units 0.2