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    HCPCS Details

    HCPC J2354
    Short Description Octreotide inj, non-depot
    Long Description Injection, octreotide, non-depot form for subcutaneous or intravenous injection, 25 mcg
    Pricing indicator 51
    Coverage code C
    ASC payment group code
    BETOS2 code O1E
    Action code N
    Type of service 1
    Effective date 2004-01-01
    Date Added 2004-01-01

    HCPCS/NDC Cross-Walk

    NDC HCPC Description Drug Name Labeler Name HCPCS Dosage PKG Size PKG QTY Bill Units Bill Units PKG
    00078018001 J2354 Octreotide inj, non-depot Sandostatin NOVARTIS PHARMACEUTICALS CORPORATION 25 MCG 1 10 2 20
    00078018101 J2354 Octreotide inj, non-depot Sandostatin NOVARTIS PHARMACEUTICALS CORPORATION 25 MCG 1 10 4 40
    00078018201 J2354 Octreotide inj, non-depot Sandostatin NOVARTIS PHARMACEUTICALS CORPORATION 25 MCG 1 10 20 200
    00641617410 J2354 Octreotide inj, non-depot OCTREOTIDE ACETATE HIKMA PHARMACEUTICALS USA INC. 25 MCG 1 10 2 20
    00641617510 J2354 Octreotide inj, non-depot OCTREOTIDE ACETATE HIKMA PHARMACEUTICALS USA INC. 25 MCG 1 10 4 40
    00641617610 J2354 Octreotide inj, non-depot OCTREOTIDE ACETATE HIKMA PHARMACEUTICALS USA INC. 25 MCG 1 10 20 200
    00641617701 J2354 Octreotide inj, non-depot OCTREOTIDE ACETATE HIKMA PHARMACEUTICALS USA INC. 25 MCG 5 1 40 40
    00641617801 J2354 Octreotide inj, non-depot OCTREOTIDE ACETATE HIKMA PHARMACEUTICALS USA INC. 25 MCG 5 1 200 200
    00703330104 J2354 Octreotide inj, non-depot OCTREOTIDE ACETATE SICOR PHARMACEUTICALS, INC. 25 MCG 1 25 2 50
    00703331104 J2354 Octreotide inj, non-depot OCTREOTIDE ACETATE SICOR PHARMACEUTICALS, INC. 25 MCG 1 25 4 100
    00703332104 J2354 Octreotide inj, non-depot OCTREOTIDE ACETATE SICOR PHARMACEUTICALS, INC. 25 MCG 1 25 20 500
    00703333301 J2354 Octreotide inj, non-depot OCTREOTIDE ACETATE SICOR PHARMACEUTICALS, INC. 25 MCG 5 1 40 40
    00703334301 J2354 Octreotide inj, non-depot OCTREOTIDE ACETATE SICOR PHARMACEUTICALS, INC. 25 MCG 5 1 200 200
    23155068531 J2354 Octreotide inj, non-depot Octreotide Acetate HERITAGE PHARMACEUTICALS, INC. 25 MCG 5 1 40 40
    23155068631 J2354 Octreotide inj, non-depot Octreotide Acetate HERITAGE PHARMACEUTICALS, INC. 25 MCG 5 1 200 200
    23155068741 J2354 Octreotide inj, non-depot Octreotide Acetate Avet Pharmaceuticals, Inc. 25 MCG 1 10 2 20
    23155068841 J2354 Octreotide inj, non-depot Octreotide Acetate Avet Pharmaceuticals, Inc. 25 MCG 1 10 4 40
    23155068941 J2354 Octreotide inj, non-depot Octreotide Acetate Avet Pharmaceuticals, Inc. 25 MCG 1 10 20 200
    25021045101 J2354 Octreotide inj, non-depot OCTREOTIDE ACETATE SAGENT PHARMACEUTICALS INC 25 MCG 1 10 2 20
    25021045201 J2354 Octreotide inj, non-depot OCTREOTIDE ACETATE SAGENT PHARMACEUTICALS INC 25 MCG 1 10 4 40
    25021045301 J2354 Octreotide inj, non-depot OCTREOTIDE ACETATE SAGENT PHARMACEUTICALS INC 25 MCG 1 10 20 200
    25021045405 J2354 Octreotide inj, non-depot OCTREOTIDE ACETATE SAGENT PHARMACEUTICALS INC 25 MCG 5 1 40 40
    25021046301 J2354 Octreotide inj, non-depot Octreotide Acetate SAGENT PHARMACEUTICALS, INC. 25 MCG 1 10 2 20
    25021046401 J2354 Octreotide inj, non-depot Octreotide Acetate SAGENT PHARMACEUTICALS, INC. 25 MCG 1 10 4 40
    25021046501 J2354 Octreotide inj, non-depot Octreotide Acetate SAGENT PHARMACEUTICALS, INC. 25 MCG 1 10 20 200
    63323037601 J2354 Octreotide inj, non-depot OCTREOTIDE ACETATE FRESENIUS KABI 25 MCG 1 10 4 40
    63323037604 J2354 Octreotide inj, non-depot OCTREOTIDE ACETATE FRESENIUS KABI 25 MCG 1 10 4 40
    63323037701 J2354 Octreotide inj, non-depot OCTREOTIDE ACETATE FRESENIUS KABI 25 MCG 1 10 20 200
    63323037704 J2354 Octreotide inj, non-depot OCTREOTIDE ACETATE FRESENIUS KABI 25 MCG 1 10 20 200
    63323037805 J2354 Octreotide inj, non-depot OCTREOTIDE ACETATE FRESENIUS KABI 25 MCG 5 1 40 40
    63323037905 J2354 Octreotide inj, non-depot OCTREOTIDE ACETATE FRESENIUS KABI 25 MCG 5 1 200 200
    67457023901 J2354 Octreotide inj, non-depot OCTREOTIDE ACETATE MYLAN INSTITUTIONAL LLC 25 MCG 1 10 2 20
    67457024501 J2354 Octreotide inj, non-depot OCTREOTIDE ACETATE MYLAN INSTITUTIONAL LLC 25 MCG 1 10 4 40
    67457024601 J2354 Octreotide inj, non-depot OCTREOTIDE ACETATE MYLAN INSTITUTIONAL LLC 25 MCG 1 10 20 200
    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 25 MCG
    HCPCS/CPT Billing Units 0.04
    Total doses ordered
    Billing Units 0.04