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    HCPCS Details

    HCPC J2916
    Short Description Na ferric gluconate complex
    Long Description Injection, sodium ferric gluconate complex in sucrose injection, 12.5 mg
    Pricing indicator 51
    Coverage code D
    ASC payment group code
    BETOS2 code O1E
    Action code N
    Type of service 1
    Effective date 2003-01-01
    Date Added 2003-01-01

    HCPCS/NDC Cross-Walk

    NDC HCPC Description Drug Name Labeler Name HCPCS Dosage PKG Size PKG QTY Bill Units Bill Units PKG
    00024279210 J2916 Na ferric gluconate complex Ferrlecit SANOFI-AVENTIS 12.5 MG 5 10 5 50
    00024279410 J2916 Na ferric gluconate complex Ferrlecit SANOFI-AVENTIS 12.5 MG 5 10 5 50
    00143929810 J2916 Na ferric gluconate complex SODIUM FERRIC GLUCONATE HIKMA PHARMACEUTICALS USA INC. 12.5 MG 5 10 5 50
    00143957010 J2916 Na ferric gluconate complex SODIUM FERRIC GLUCONATE HIKMA PHARMACEUTICALS USA INC. 12.5 MG 5 10 5 50
    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 12.5 MG
    HCPCS/CPT Billing Units 0.083333333333333
    Total doses ordered
    Billing Units 0.083333333333333