MultiHance (gadobenate dimeglumine) NDC 0270-5164

NDC codes

FDA NDC Directory

Product NDC (as listed)0270-5164Labeler and product segments. Claims need a package NDC.

Product NDC at billing width00270-5164Add 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 NDC	11-digit (billing)	Package
0270-5164-12	00270516412	5 VIAL, SINGLE-DOSE in 1 BOX (0270-5164-12) / 5 mL in 1 VIAL, SINGLE-DOSEMarketed from Nov 23, 2004
0270-5164-13	00270516413	5 VIAL, SINGLE-DOSE in 1 BOX (0270-5164-13) / 10 mL in 1 VIAL, SINGLE-DOSEMarketed from Nov 23, 2004
0270-5164-14	00270516414	5 VIAL, SINGLE-DOSE in 1 BOX (0270-5164-14) / 15 mL in 1 VIAL, SINGLE-DOSEMarketed from Nov 23, 2004
0270-5164-15	00270516415	5 VIAL, SINGLE-DOSE in 1 BOX (0270-5164-15) / 20 mL in 1 VIAL, SINGLE-DOSEMarketed from Nov 23, 2004

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): MultiHance
Generic name (nonproprietary): gadobenate dimeglumine
Active ingredients: Gadobenate dimeglumine — 529 mg/mL
Dosage form: Injection, Solution
Route: Intravenous
Labeler: BRACCO DIAGNOSTICS INC
Product type: Prescription drug
Marketing category: NDA — New Drug ApplicationApplication NDA 021357
Marketing start: Nov 23, 2004
Listing expires: Dec 31, 2026
Other FDA classes: Magnetic Resonance Contrast Activity (Mechanism)
Identifiers: Product ID 0270-5164_0e7d3da8-78fa-b4ae-4a43-15919e900ebeSPL ID 0e7d3da8-78fa-b4ae-4a43-15919e900ebeSPL set ID 59077a3e-5f03-4342-ae24-856267545631UNII 3Q6PPC19PO
Pharmacologic class: Gadolinium-based Contrast Agent

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

N400270516412 followed by a unit qualifier and the quantity

Package 00270-5164-12. 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

Label details couldn’t be retrieved right now. Open the label on DailyMed.