NDC codes

FDA NDC Directory
Product NDC (as listed)0404-0221Labeler and product segments. Claims need a package NDC.
Product NDC at billing width00404-0221Add 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
0404-0221-0400404022104473 mL in 1 BOTTLE (0404-0221-04)Marketed from Nov 17, 2021

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)
Maxiclens Chlorhexidine Gluconate Liquid Solution, 4%
Generic name (nonproprietary)
chlorhexidine gluconate
Active ingredients
Chlorhexidine gluconate — 40 mg/mL
Dosage form
Solution
Route
Topical
Product type
Over-the-counter drug
Marketing category
NDA — New Drug ApplicationApplication NDA 019258
Marketing start
Listing expires
Other FDA classes
Decreased Cell Wall Integrity (Physiologic effect)
Identifiers
Product ID 0404-0221_4b0b50e9-6582-bf18-e063-6394a90a5e33SPL ID 4b0b50e9-6582-bf18-e063-6394a90a5e33SPL set ID 4b0b50ef-78e1-5595-e063-6294a90aa84dRxCUI 211365, 2630838UNII MOR84MUD8E

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 HCPCS code in Med-Code's directory. Topical products like this are usually dispensed by a pharmacy and billed by NDC.

NDC on a medical claim

N400404022104 followed by a unit qualifier and the quantity

Package 00404-0221-04. 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

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