HCPCS code lookup

HCPCS Level II

J3410

Injection, hydroxyzine hcl, up to 25 mg

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Code
J3410
Description
Injection, hydroxyzine hcl, up to 25 mg

CMS HCPCS quarterly update

NDC crosswalk

  • 00404-9877-01 Hydroxyzine HCl, Henry Schein Inc.. Billable units per 11-digit NDC: 2.
  • 00404-9878-02 Hydroxyzine HCl, Henry Schein Inc.. Billable units per 11-digit NDC: 4.
  • 00517-4201-25 Hydroxyzine HCl, American Regent, Inc.. Billable units per 11-digit NDC: 25.
  • 00517-5601-25 Hydroxyzine HCl, American Regent, Inc.. Billable units per 11-digit NDC: 50.
  • 00517-5602-25 Hydroxyzine HCl, American Regent, Inc.. Billable units per 11-digit NDC: 100.
  • 51662-1649-03 Hydroxyzine HCl, HF Acquisition Co. LLC, DBA HealthFirst. Billable units per 11-digit NDC: 25.

Source: CMS ASP NDC-HCPCS crosswalk, effective October 1, 2026 through December 31, 2026.

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