NDC codes

FDA NDC Directory
Product NDC (as listed)0404-9880Labeler and product segments. Claims need a package NDC.
Product NDC at billing width00404-9880Add 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
0404-9880-20004049880201 VIAL in 1 BAG (0404-9880-20) / 20 mL in 1 VIALMarketed from Jan 11, 2022

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)
Ketalar
Generic name (nonproprietary)
ketamine hydrochloride
Active ingredients
Ketamine hydrochloride — 10 mg/mL
Dosage form
Injection
Route
Intramuscular, Intravenous
Product type
Prescription drug
Marketing category
NDA — New Drug ApplicationApplication NDA 016812
Marketing start
Listing expires
DEA schedule
CIII
Other FDA classes
General Anesthesia (Physiologic effect)
Identifiers
Product ID 0404-9880_66dc4477-9189-4ff8-b778-8ceb17a50802SPL ID 66dc4477-9189-4ff8-b778-8ceb17a50802SPL set ID 46dab560-8ecd-4d92-8c92-6baa2310b09bRxCUI 206967, 238082UNII O18YUO0I83
Pharmacologic class
General Anesthetic

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

N400404988020 followed by a unit qualifier and the quantity

Package 00404-9880-20. 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)

KETALAR (ketamine hydrochloride) injection is indicated: as the sole anesthetic agent for diagnostic and surgical procedures that do not require skeletal muscle relaxation. for the induction of anesthesia prior to the administration of other general anesthetic agents. as a supplement to other anesthetic agents. KETALAR is a general anesthetic indicated: as the sole anesthetic agent for diagnostic and surgical procedures that do not require skeletal muscle relaxation (1) for the induction of anesthesia prior to the administration of other general anesthetic agents (1) as a supplement to other anesthetic agents (1).

Excerpt only. Read the full label for complete information.

Full label on DailyMed (opens in a new tab)

Other NDCs under NDA 016812

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

FDA NDC Directory listings under NDA 016812
ProductStrengthForm · routeLabelerProduct NDC
Ketalarketamine hydrochlorideKetamine hydrochloride 100 mg/mLInjectionIntramuscular, IntravenousPar Health USA, LLC42023-115
Ketalarketamine hydrochlorideKetamine hydrochloride 10 mg/mLInjectionIntramuscular, IntravenousPar Health USA, LLC42023-113
Ketalarketamine hydrochlorideKetamine hydrochloride 50 mg/mLInjectionIntramuscular, IntravenousPar Health USA, LLC42023-114

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