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    HCPCS Details

    HCPC J3371
    Short Description Inj, vancomycin hcl (mylan)
    Long Description Injection, vancomycin hcl (mylan) not therapeutically equivalent to j3370, 500 mg
    Pricing indicator 51
    Coverage code D
    ASC payment group code YY
    BETOS2 code O1E
    Action code P
    Type of service 1
    Effective date 2024-01-01
    Date Added 2023-01-01

    HCPCS/NDC Cross-Walk

    NDC HCPC Description Drug Name Labeler Name HCPCS Dosage PKG Size PKG QTY Bill Units Bill Units PKG
    67457070575 J3371 Inj, vancomycin hcl (mylan) Vancomycin Hcl MYLAN INSTITUTIONAL LLC 500 MG 1 10 1.5 15
    67457082399 J3371 Inj, vancomycin hcl (mylan) Vancomycin HCl MYLAN INSTITUTIONAL LLC 500 MG 1 10 2.5 25
    67457082499 J3371 Inj, vancomycin hcl (mylan) Vancomycin HCl MYLAN INSTITUTIONAL LLC 500 MG 1 10 3 30
    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 500 MG
    HCPCS/CPT Billing Units 0.002
    Total doses ordered
    Billing Units 0.002