DIANEAL Low Calcium with Dextrose NDC 0941-0433

NDC codes

FDA NDC Directory

Product NDC (as listed)0941-0433Labeler and product segments. Claims need a package NDC.

Product NDC at billing width00941-0433Add 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 NDC	11-digit (billing)	Package
0941-0433-51	00941043351	1500 mL in 1 BAG (0941-0433-51)Marketed from Dec 4, 1992
0941-0433-52	00941043352	2000 mL in 1 BAG (0941-0433-52)Marketed from Dec 4, 1992
0941-0433-53	00941043353	2500 mL in 1 BAG (0941-0433-53)Marketed from Dec 4, 1992

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): DIANEAL Low Calcium with Dextrose
Generic name (nonproprietary): sodium chloride, sodium lactate, calcium chloride, magnesium chloride and dextrose
Active ingredients: Dextrose monohydrate — 4.25 g/100mLSodium chloride — 538 mg/100mLSodium lactate — 448 mg/100mLCalcium chloride — 18.3 mg/100mLMagnesium chloride — 5.08 mg/100mL
Dosage form: Injection, Solution
Route: Intraperitoneal
Labeler: Vantive US Healthcare LLC
Product type: Prescription drug
Marketing category: NDA — New Drug ApplicationApplication NDA 020183
Marketing start: Dec 4, 1992
Listing expires: Dec 31, 2027
Other FDA classes: Calcium (Chemical structure)Divalent (Chemical structure)Increased Coagulation Factor Activity (Physiologic effect)Increased Large Intestinal Motility (Physiologic effect)Increased Large Intestinal Motility (Physiologic effect)Increased Large Intestinal Motility (Physiologic effect)Inhibition Large Intestine Fluid/Electrolyte Absorption (Physiologic effect)Inhibition Large Intestine Fluid/Electrolyte Absorption (Physiologic effect)Inhibition Large Intestine Fluid/Electrolyte Absorption (Physiologic effect)Inhibition Small Intestine Fluid/Electrolyte Absorption (Physiologic effect)Magnesium Ion Exchange Activity (Mechanism)Osmotic Activity (Mechanism)Osmotic Activity (Mechanism)Osmotic Activity (Mechanism)Phosphate Chelating Activity (Mechanism)Stimulation Large Intestine Fluid/Electrolyte Secretion (Physiologic effect)
Identifiers: Product ID 0941-0433_194f41a6-655b-456a-955f-7566eb429b7bSPL ID 194f41a6-655b-456a-955f-7566eb429b7bSPL set ID aa268d3f-7389-4f25-801f-5d4825495f08RxCUI 799999, 800003, 800057, 800061, 800062, 800064, 800066, 800074, 800111, 800115, 800472, 800474UNII M4I0D6VV5M, TU7HW0W0QT, LX22YL083G, 02F3473H9O, 451W47IQ8X
Pharmacologic class: Blood Coagulation Factor; Calculi Dissolution Agent; Osmotic Laxative; Phosphate Binder

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

N400941043351 followed by a unit qualifier and the quantity

Package 00941-0433-51. 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

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