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    HCPCS Details

    HCPC J7042
    Short Description 5% dextrose/normal saline
    Long Description 5% dextrose/normal saline (500 ml = 1 unit)
    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 1984-01-01

    HCPCS/NDC Cross-Walk

    NDC HCPC Description Drug Name Labeler Name HCPCS Dosage PKG Size PKG QTY Bill Units Bill Units PKG
    00264761000 J7042 5% dextrose/normal saline Dextrose-Nacl B. BRAUN MEDICAL INC. 500 ML 1000 12 2 24
    00264761010 J7042 5% dextrose/normal saline Dextrose-Nacl B. BRAUN MEDICAL INC. 500 ML 500 24 1 24
    00990794103 J7042 5% dextrose/normal saline Dextrose-Nacl ICU MEDICAL 500 ML 500 24 1 24
    00990794109 J7042 5% dextrose/normal saline Dextrose-Nacl ICU MEDICAL 500 ML 1000 12 2 24
    63323087010 J7042 5% dextrose/normal saline Dextrose-NaCl FRESENIUS KABI 500 ML 500 20 1 20
    63323087074 J7042 5% dextrose/normal saline Dextrose-NaCl FRESENIUS KABI 500 ML 1000 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 500 ML
    HCPCS/CPT Billing Units 0.002
    Total doses ordered
    Billing Units 0.002