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    HCPCS Details

    HCPC J3410
    Short Description Hydroxyzine hcl injection
    Long Description Injection, hydroxyzine hcl, up to 25 mg
    Pricing indicator 51
    Coverage code D
    ASC payment group code
    BETOS2 code O1E
    Action code N
    Type of service 1
    Effective date 1997-01-01
    Date Added 1982-01-01

    HCPCS/NDC Cross-Walk

    NDC HCPC Description Drug Name Labeler Name HCPCS Dosage PKG Size PKG QTY Bill Units Bill Units PKG
    00404987701 J3410 Hydroxyzine hcl injection Hydroxyzine HCl HENRY SCHEIN, INC. 25 MG 1 1 2 2
    00404987802 J3410 Hydroxyzine hcl injection Hydroxyzine HCl HENRY SCHEIN, INC. 25 MG 2 1 4 4
    00517420125 J3410 Hydroxyzine hcl injection Hydroxyzine Hcl AMERICAN REGENT 25 MG 1 25 1 25
    00517560125 J3410 Hydroxyzine hcl injection Hydroxyzine Hcl AMERICAN REGENT 25 MG 1 25 2 50
    00517560225 J3410 Hydroxyzine hcl injection Hydroxyzine Hcl AMERICAN REGENT 25 MG 2 25 4 100
    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 MG
    HCPCS/CPT Billing Units 0.04
    Total doses ordered
    Billing Units 0.04