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    HCPCS Details

    HCPC J1950
    Short Description Leuprolide acetate /3.75 mg
    Long Description Injection, leuprolide acetate (for depot suspension), per 3.75 mg
    Pricing indicator 51
    Coverage code D
    ASC payment group code YY
    BETOS2 code O1E
    Action code N
    Type of service 1
    Effective date 1997-01-01
    Date Added 1986-01-01

    HCPCS/NDC Cross-Walk

    NDC HCPC Description Drug Name Labeler Name HCPCS Dosage PKG Size PKG QTY Bill Units Bill Units PKG
    00074210803 J1950 Leuprolide acetate /3.75 mg Lupron Depot-Ped 7.5mg ABBVIE US, LLC 3.75 MG 1 1 2 2
    00074228203 J1950 Leuprolide acetate /3.75 mg Lupron Depot-Ped 11.25mg ABBVIE US, LLC 3.75 MG 1 1 3 3
    00074244003 J1950 Leuprolide acetate /3.75 mg Lupron Depot-Ped 15mg ABBVIE US, LLC 3.75 MG 1 1 4 4
    00074357501 J1950 Leuprolide acetate /3.75 mg LUPRON DEPOT-PED ABBVIE US LLC 3.75 MG 1 1 12 12
    00074364103 J1950 Leuprolide acetate /3.75 mg LUPRON DEPOT 3.75MG ABBVIE US, LLC 3.75 MG 1 1 1 1
    00074366303 J1950 Leuprolide acetate /3.75 mg LUPRON DEPOT 3-MONTH, 11.25MG ABBVIE US, LLC 3.75 MG 1 1 3 3
    00074377903 J1950 Leuprolide acetate /3.75 mg LUPRON DEPOT-PED 3-MONTH, 11.25MG ABBVIE US, LLC 3.75 MG 1 1 3 3
    00074969403 J1950 Leuprolide acetate /3.75 mg LUPRON DEPOT-PED 3-MONTH, 30 MG ABBVIE US, LLC 3.75 MG 1 1 8 8
    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 3.75 MG
    HCPCS/CPT Billing Units 0.33333333333333
    Total doses ordered
    Billing Units 0.33333333333333