July 2025 NDC-to-HCPCS Crosswalk Released for Texas Clinician-Administered Drug Claims

Texas Health and Human Services Commission (HHSC) has published the July 2025 National Drug Code (NDC) to Healthcare Common Procedure Coding System (HCPCS) Crosswalk. This monthly change is essential to clinician-administered drug (CAD) processing, and it helps in the submission of accurate Medicaid claims.

The crosswalk details existing NDC-Medicaid-reimbursable HCPCS code ties. It is built on quarterly updates of the Centers for Medicare & Medicaid Services (CMS) list of rebate-eligible drugs, as well as new drug additions to the First Databank pricing compendia.

In order to avoid claims denials, prescribing providers should use the crosswalk to achieve compliance. The most recent changes can be viewed with the CAD Search tool or can be downloaded directly. There are instructions on the use of the search tool also.

Providers can contact HHSC with any additional help or feedback at vdp-cad@hhsc.state.tx.us.