Search by Drug Name, NDC or Jcode

    Internal Navigation

    HCPCS Details

    HCPC J1921
    Short Description Inj labetalol hcl hikma, 5mg
    Long Description Injection, labetalol hydrochloride (hikma) not therapeutically equivalent to j1920, 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
    00143936310 J1921 Inj labetalol hcl hikma, 5mg Labetalol HCl HIKMA PHARMACEUTICALS USA INC. 5 MG 100 10 20 200
    00143936410 J1921 Inj labetalol hcl hikma, 5mg Labetalol HCl HIKMA PHARMACEUTICALS USA INC. 5 MG 200 10 40 400
    00143936510 J1921 Inj labetalol hcl hikma, 5mg Labetalol HCl HIKMA PHARMACEUTICALS USA INC. 5 MG 300 10 60 600
    00143936610 J1921 Inj labetalol hcl hikma, 5mg Labetalol HCl HIKMA PHARMACEUTICALS USA INC. 5 MG 200 10 40 400
    00641625210 J1921 Inj labetalol hcl hikma, 5mg LABETALOL HCL HIKMA PHARMACEUTICALS USA INC. 5 MG 2 10 2 20
    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