NDC codes

FDA NDC Directory
Product NDC (as listed)0264-9594Labeler and product segments. Claims need a package NDC.
Product NDC at billing width00264-9594Add the package segment from the table below.
Package NDCs as listed with the FDA, and the 11-digit 5-4-2 form used on claims. The highlighted digit is the added leading zero.
Package NDC11-digit (billing)PackageCopy
0264-9594-100026495941024 CONTAINER in 1 CASE (0264-9594-10) / 500 mL in 1 CONTAINERMarketed from Apr 8, 1992
0264-9594-200026495942024 CONTAINER in 1 CASE (0264-9594-20) / 250 mL in 1 CONTAINERMarketed from Apr 8, 1992

How the 11-digit form is made: The labeler segment has 4 digits, so one leading zero is added to it (4-4-2 → 5-4-2). Formatting the NDC does not by itself make it billable — the product, package and quantity must match what was dispensed or administered, and payer rules apply. Conversion rules

Product information

Brand name (proprietary)
Lidocaine Hydrochloride and Dextrose
Generic name (nonproprietary)
lidocaine hydrochloride anhydrous and dextrose monohydrate
Active ingredients
Lidocaine hydrochloride anhydrous — .4 g/100mLDextrose monohydrate — 5 g/100mL
Dosage form
Injection, Solution
Route
Intravenous
Product type
Prescription drug
Marketing category
NDA — New Drug ApplicationApplication NDA 019830
Marketing start
Listing expires
Other FDA classes
Amides (Chemical structure)Local Anesthesia (Physiologic effect)
Identifiers
Product ID 0264-9594_9e352802-107c-4f90-babe-4f69c7dc892eSPL ID 9e352802-107c-4f90-babe-4f69c7dc892eSPL set ID 7dff29d9-522d-40eb-a9d9-42377912d640RxCUI 1737723, 1737742, 1737744UNII LX22YL083G, EC2CNF7XFP
Pharmacologic class
Amide Local Anesthetic; Antiarrhythmic

Billing references

What Med-Code can say about coding this product, and where each statement comes from. Nothing here is inferred from the name alone.

HCPCS codeNo match

No drug-specific HCPCS code in Med-Code's directory for this product. The directory is curated and not complete — check the current CMS HCPCS file before billing.

Administration

Drug administration (CPT 96360–96549)

When a clinician administers the drug, the administration is reported separately. Codes in this range cover hydration, therapeutic injections and infusions, and chemotherapy or other complex drug administration. The right code depends on route, duration and drug type, and self-administered drugs are not billed this way.

How CPT relates to drug billing

NDC on a medical claim

N400264959410 followed by a unit qualifier and the quantity

Package 00264-9594-10. Unit qualifiers: F2 (international unit), GR (gram), ME (milligram), ML (milliliter), UN (unit (each)). The qualifier and quantity depend on what was given. About the N4 qualifier

Product label

Current FDA label (SPL), effective .

Indications (excerpt from the label)

INDICATIONS AND USAGE Lidocaine hydrochloride administered intravenously is specifically indicated in the acute management of (1) ventricular arrhythmias occurring during cardiac manipulations, such as cardiac surgery and (2) life-threatening arrhythmias which are ventricular in origin, such as occur during acute myocardial infarction.

Excerpt only. Read the full label for complete information.

Full label on DailyMed (opens in a new tab)

Other NDCs under NDA 019830

Products listed under the same FDA application: other strengths and forms, and repackagers who relabel the same product.

FDA NDC Directory listings under NDA 019830
ProductStrengthForm · routeLabelerProduct NDC
Lidocaine Hydrochloride and Dextroselidocaine hydrochloride anhydrous and dextrose monohydrateLidocaine hydrochloride anhydrous .4 g/100mL; Dextrose monohydrate 5 g/100mLInjection, SolutionIntravenousProPharma Distribution84549-594
Lidocaine Hydrochloride and Dextroselidocaine hydrochloride anhydrous and dextrose monohydrateLidocaine hydrochloride anhydrous .8 g/100mL; Dextrose monohydrate 5 g/100mLInjection, SolutionIntravenousB. Braun Medical Inc.0264-9598

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