NDC codes

FDA NDC Directory
Product NDC (as listed)0409-5555Labeler and product segments. Claims need a package NDC.
Product NDC at billing width00409-5555Add 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
0409-5555-020040955550225 VIAL, SINGLE-USE in 1 TRAY (0409-5555-02) / 5 mL in 1 VIAL, SINGLE-USE (0409-5555-12)Marketed from Oct 21, 2019

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)
Sodium Bicarbonate
Generic name (nonproprietary)
sodium bicarbonate
Active ingredients
Sodium bicarbonate — 42 mg/mL
Dosage form
Injection, Solution
Route
Intravenous
Product type
Prescription drug
Marketing category
ANDA — Abbreviated New Drug Application (generic)Application ANDA 202981
Marketing start
Listing expires
Other FDA classes
Alkalinizing Activity (Mechanism)
Identifiers
Product ID 0409-5555_bcb3a2dc-1a3f-4ac7-8ea2-426f0771c246SPL ID bcb3a2dc-1a3f-4ac7-8ea2-426f0771c246SPL set ID ea9f4498-0d43-4043-8dd1-f22537841c21RxCUI 1868469UNII 8MDF5V39QO

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

N400409555502 followed by a unit qualifier and the quantity

Package 00409-5555-02. 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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