NDC codes

FDA NDC Directory
Product NDC (as listed)0409-7419Labeler and product segments. Claims need a package NDC.
Product NDC at billing width00409-7419Add 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
0409-7419-030040974190312 POUCH in 1 CASE (0409-7419-03) / 1 BAG in 1 POUCH / 500 mL in 1 BAG (0409-7419-14)Marketed from Aug 12, 2005

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)
LMD in Sodium Chloride
Generic name (nonproprietary)
dextran 40
Active ingredients
Dextran 40 — 10 g/100mL
Dosage form
Injection, Solution
Route
Intravenous
Product type
Prescription drug
Marketing category
ANDA — Abbreviated New Drug Application (generic)Application BA 720562
Marketing start
Listing expires
Other FDA classes
Increased Intravascular Volume (Physiologic effect)Osmotic Activity (Mechanism)
Identifiers
Product ID 0409-7419_7dc616ab-1417-4950-9e1f-2deb01b83c1aSPL ID 7dc616ab-1417-4950-9e1f-2deb01b83c1aSPL set ID 3c273512-84e2-2cea-b201-12345a6bd1feRxCUI 244250UNII K3R6ZDH4DU
Pharmacologic class
Plasma Volume Expander

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

N400409741903 followed by a unit qualifier and the quantity

Package 00409-7419-03. 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)

INDICATIONS AND USAGE LMD (dextran 40) is indicated for use in the adjunctive treatment of shock or impending shock due to hemorrhage, burns, surgery or other trauma. It is not indicated as a replacement for whole blood or blood components if they are available. It should not replace other forms of therapy known to be of value in the treatment of shock. LMD is also indicated for use as a priming fluid, either as a sole prime or as an additive, in pump oxygenators during extracorporeal circulation. LMD is also indicated for use in prophylaxis of venous thrombosis and pulmonary embolism in patients undergoing procedures known to be associated with a high incidence of thromboembolic complicatio…

Excerpt only. Read the full label for complete information.

Full label on DailyMed (opens in a new tab)

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