NDC codes

FDA NDC Directory
Product NDC (as listed)0404-9961Labeler and product segments. Claims need a package NDC.
Product NDC at billing width00404-9961Add 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
0404-9961-25004049961251 BOTTLE in 1 BAG (0404-9961-25) / 240 mL in 1 BOTTLEMarketed from Jan 12, 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)
Suprane
Generic name (nonproprietary)
desflurane
Active ingredients
Desflurane — 240 mL/240mL
Dosage form
Liquid
Route
Respiratory (Inhalation)
Product type
Prescription drug
Marketing category
NDA — New Drug ApplicationApplication NDA 020118
Marketing start
Listing expires
Other FDA classes
General Anesthesia (Physiologic effect)
Identifiers
Product ID 0404-9961_55ccfa99-0261-4ca1-9f31-1d934c825a8bSPL ID 55ccfa99-0261-4ca1-9f31-1d934c825a8bSPL set ID a3e4c8e5-bff0-4a8f-8401-e9866c846ee2RxCUI 208919, 562366UNII CRS35BZ94Q
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.

NDC on a medical claim

N400404996125 followed by a unit qualifier and the quantity

Package 00404-9961-25. 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.

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