NDC codes

FDA NDC Directory
Product NDC (as listed)0404-9969Labeler and product segments. Claims need a package NDC.
Product NDC at billing width00404-9969Add 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
0404-9969-01004049969011 AMPULE in 1 BAG (0404-9969-01) / 1 mL in 1 AMPULEMarketed from Jan 10, 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)
Phytonadione
Generic name (nonproprietary)
phytonadione
Active ingredients
Phytonadione — 10 mg/mL
Dosage form
Injection, Emulsion
Route
Intramuscular, Intravenous, Subcutaneous
Product type
Prescription drug
Marketing category
ANDA — Abbreviated New Drug Application (generic)Application ANDA 207719
Marketing start
Listing expires
Other FDA classes
Increased Prothrombin Activity (Physiologic effect)Reversed Anticoagulation Activity (Physiologic effect)Vitamin K (Chemical structure)
Identifiers
Product ID 0404-9969_219e0da6-2fee-450f-ba9c-ff2595f90b69SPL ID 219e0da6-2fee-450f-ba9c-ff2595f90b69SPL set ID 1cf90be3-a744-4db5-999d-a84c67372304RxCUI 1670192UNII A034SE7857
Pharmacologic class
Vitamin K; Warfarin Reversal 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

N400404996901 followed by a unit qualifier and the quantity

Package 00404-9969-01. 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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