Tis-U-Sol NDC 0338-0190

NDC codes

FDA NDC Directory

Product NDC (as listed)0338-0190Labeler and product segments. Claims need a package NDC.

Product NDC at billing width00338-0190Add 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	Copy
0338-0190-04	00338019004	12 BOTTLE, PLASTIC in 1 CARTON (0338-0190-04) / 1000 mL in 1 BOTTLE, PLASTICMarketed from Feb 19, 1982

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): Tis-U-Sol
Generic name (nonproprietary): sodium chloride, potassium chloride, magnesium sulfate, sodium phosphate, and potassium phosphate
Active ingredients: Sodium chloride — 800 mg/100mLPotassium chloride — 40 mg/100mLMagnesium sulfate heptahydrate — 20 mg/100mLSodium phosphate, Dibasic, Heptahydrate — 8.75 mg/100mLMonobasic potassium phosphate — 6.25 mg/100mL
Dosage form: Irrigant
Route: Irrigation
Labeler: Baxter Healthcare Corporation
Product type: Prescription drug
Marketing category: NDA — New Drug ApplicationApplication NDA 018508
Marketing start: Feb 19, 1982
Listing expires: Dec 31, 2027
Other FDA classes: Increased Large Intestinal Motility (Physiologic effect)Increased Large Intestinal Motility (Physiologic effect)Increased Large Intestinal Motility (Physiologic effect)Increased Large Intestinal Motility (Physiologic effect)Inhibition Large Intestine Fluid/Electrolyte Absorption (Physiologic effect)Inhibition Large Intestine Fluid/Electrolyte Absorption (Physiologic effect)Inhibition Large Intestine Fluid/Electrolyte Absorption (Physiologic effect)Inhibition Large Intestine Fluid/Electrolyte Absorption (Physiologic effect)Inhibition Small Intestine Fluid/Electrolyte Absorption (Physiologic effect)Magnesium Ion Exchange Activity (Mechanism)Osmotic Activity (Mechanism)Osmotic Activity (Mechanism)Osmotic Activity (Mechanism)Osmotic Activity (Mechanism)Potassium Compounds (Chemical structure)Stimulation Large Intestine Fluid/Electrolyte Secretion (Physiologic effect)
Identifiers: Product ID 0338-0190_313abeef-1c8f-4fb4-9e6d-3b3737102c7eSPL ID 313abeef-1c8f-4fb4-9e6d-3b3737102c7eSPL set ID 9da4121f-d62d-4da4-8dfb-0494da16015fRxCUI 801442, 801445UNII 451W47IQ8X, 660YQ98I10, SK47B8698T, 70WT22SF4B, 4J9FJ0HL51
Pharmacologic class: Calculi Dissolution Agent; Osmotic Laxative; Potassium Salt

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.

NDC on a medical claim

N400338019004 followed by a unit qualifier and the quantity

Package 00338-0190-04. 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 Feb 21, 2014.

Indications (excerpt from the label)

INDICATIONS AND USAGE Isotonic solution for irrigation only. Not for injection.

Excerpt only. Read the full label for complete information.

Full label on DailyMed (opens in a new tab)