NDC codes

FDA NDC Directory
Product NDC (as listed)0942-9001Labeler and product segments. Claims need a package NDC.
Product NDC at billing width00942-9001Add 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
0942-9001-010094290010167.5 mL in 1 BAG (0942-9001-01)Marketed from Mar 1, 2007

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)
ACD Blood-Pack Units (PL 146 PLASTIC)
Generic name (nonproprietary)
anticoagulant citrate dextrose (acd)
Active ingredients
Dextrose monohydrate — 1.65 g/67.5mLTrisodium citrate dihydrate — 1.48 g/67.5mLAnhydrous citric acid — 493 mg/67.5mL
Dosage form
Solution
Route
Intravenous
Product type
Prescription drug
Marketing category
NDA — New Drug ApplicationApplication BN 160918
Marketing start
Listing expires
Other FDA classes
Acidifying Activity (Mechanism)Acidifying Activity (Mechanism)Calcium Chelating Activity (Mechanism)Calcium Chelating Activity (Mechanism)Decreased Coagulation Factor Activity (Physiologic effect)Decreased Coagulation Factor Activity (Physiologic effect)
Identifiers
Product ID 0942-9001_02a2ae7c-e324-4d5a-aa2a-4a4f7426fd06SPL ID 02a2ae7c-e324-4d5a-aa2a-4a4f7426fd06SPL set ID ba894daa-688e-4a9e-bd74-e71797f951bbUNII LX22YL083G, B22547B95K, XF417D3PSL
Pharmacologic class
Anti-coagulant; Calculi Dissolution 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

N400942900101 followed by a unit qualifier and the quantity

Package 00942-9001-01. 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

Current FDA label (SPL), effective .

Full label on DailyMed (opens in a new tab)

Other NDCs under BN 160918

Products listed under the same FDA application: other strengths and forms, and repackagers who relabel the same product.

FDA NDC Directory listings under BN 160918
ProductStrengthForm · routeLabelerProduct NDC
Acd-Aanticoagulant citrate dextrose solution formula aDextrose monohydrate 24.5 g/1000mL + 2 more ingredientsSolutionIntravenousFenwal, Inc.0942-0641
Acd-Aanticoagulant citrate dextrose solution formula aDextrose monohydrate 12.25 g/500mL + 2 more ingredientsSolutionIntravenousFenwal, Inc.0942-0641

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