NDC codes

FDA NDC Directory
Product NDC (as listed)0404-9970Labeler and product segments. Claims need a package NDC.
Product NDC at billing width00404-9970Add 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
0404-9970-30004049970301 VIAL, MULTI-DOSE in 1 BAG (0404-9970-30) / 30 mL in 1 VIAL, MULTI-DOSEMarketed from Jan 17, 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)
Bacteriostatic Water
Generic name (nonproprietary)
water
Active ingredients
Water — 1 mL/mL
Dosage form
Injection, Solution
Route
Intramuscular, Intravenous, Subcutaneous
Product type
Prescription drug
Marketing category
NDA — New Drug ApplicationApplication NDA 018802
Marketing start
Listing expires
Identifiers
Product ID 0404-9970_020852cf-7148-4456-a0ce-d9845d7c3fe3SPL ID 020852cf-7148-4456-a0ce-d9845d7c3fe3SPL set ID a833502e-a622-4e81-8c58-cef6ccb6c4c9UNII 059QF0KO0R

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

N400404997030 followed by a unit qualifier and the quantity

Package 00404-9970-30. 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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