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    HCPCS Details

    HCPC J3486
    Short Description Ziprasidone mesylate
    Long Description Injection, ziprasidone mesylate, 10 mg
    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
    00049120310 J3486 Ziprasidone mesylate Geodon UPJOHN US 1 LLC 10 MG 1 10 2 20
    00049392083 J3486 Ziprasidone mesylate Geodon UPJOHN US 1 LLC 10 MG 1 10 2 20
    43598006158 J3486 Ziprasidone mesylate Ziprasidone Mesylate DR.REDDY'S LABORATORIES, INC. 10 MG 1 10 2 20
    43598084858 J3486 Ziprasidone mesylate Ziprasidone Mesylate DR. REDDY'S LABORATORIES, INC. 10 MG 1 10 2 20
    51662156403 J3486 Ziprasidone mesylate Ziprasidone Mesylate HEALTHFIRST 10 MG 1 10 10 100
    72266016010 J3486 Ziprasidone mesylate Ziprasidone Mesylate FOSUN PHARMA 10 MG 1 10 2 20
    72266016042 J3486 Ziprasidone mesylate Ziprasidone Mesylate FOSUN PHARMA 10 MG 1 10 2 20
    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 10 MG
    HCPCS/CPT Billing Units 0.1
    Total doses ordered
    Billing Units 0.1