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    HCPCS Details

    HCPC J9040
    Short Description Bleomycin sulfate injection
    Long Description Injection, bleomycin sulfate, 15 units
    Pricing indicator 51
    Coverage code D
    ASC payment group code
    BETOS2 code O1D
    Action code N
    Type of service 1
    Effective date 2009-01-01
    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
    00143924001 J9040 Bleomycin sulfate injection Bleomycin Sulfate HIKMA PHARMACEUTICALS USA INC. 15 UNITS 1 1 1 1
    00143924101 J9040 Bleomycin sulfate injection Bleomycin Sulfate HIKMA PHARMACEUTICALS USA INC. 15 UNITS 1 1 2 2
    00409032320 J9040 Bleomycin sulfate injection Bleomycin Sulfate PFIZER INC. 15 UNITS 1 1 2 2
    00409033220 J9040 Bleomycin sulfate injection Bleomycin Sulfate PFIZER INC. 15 UNITS 1 1 1 1
    00703315401 J9040 Bleomycin sulfate injection Bleomycin Sulfate SICOR PHARMACEUTICALS, INC. 15 UNITS 1 1 1 1
    00703315501 J9040 Bleomycin sulfate injection Bleomycin Sulfate SICOR PHARMACEUTICALS, INC. 15 UNITS 1 1 2 2
    16714088601 J9040 Bleomycin sulfate injection Bleomycin Sulfate NORTHSTAR RX LLC 15 UNITS 1 1 1 1
    16714090801 J9040 Bleomycin sulfate injection Bleomycin Sulfate NORTHSTAR RX LLC 15 UNITS 1 1 2 2
    61703032322 J9040 Bleomycin sulfate injection Bleomycin Sulfate PFIZER INC. 15 UNITS 1 1 2 2
    61703033218 J9040 Bleomycin sulfate injection Bleomycin Sulfate PFIZER INC. 15 UNITS 1 1 1 1
    63323013610 J9040 Bleomycin sulfate injection Bleomycin Sulfate FRESENIUS KABI 15 UNITS 1 1 1 1
    63323013720 J9040 Bleomycin sulfate injection Bleomycin FRESENIUS KABI 15 UNITS 1 1 1 2
    71288010610 J9040 Bleomycin sulfate injection Bleomycin Sulfate MEITHEAL PHARMACEUTICALS, INC. 15 UNITS 1 1 1 1
    71288010720 J9040 Bleomycin sulfate injection Bleomycin Sulfate MEITHEAL PHARMACEUTICALS, INC. 15 UNITS 1 1 2 2
    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 15 UNITS
    HCPCS/CPT Billing Units 0.066666666666667
    Total doses ordered
    Billing Units 0.066666666666667