NDC codes

FDA NDC Directory
Product NDC (as listed)0990-7111Labeler and product segments. Claims need a package NDC.
Product NDC at billing width00990-7111Add 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
0990-7111-090099071110912 POUCH in 1 CASE (0990-7111-09) / 1 BAG in 1 POUCH / 1000 mL in 1 BAGMarketed from Nov 25, 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)
Potassium Chloride in Lactated Ringers and Dextrose
Generic name (nonproprietary)
potassium chloride, sodium chloride, calcium chloride, sodium lactate, and dextrose monohydrate
Active ingredients
Potassium chloride — 1.79 g/1000mLSodium chloride — 6 g/1000mLCalcium chloride — .2 g/1000mLSodium lactate — 3.1 g/1000mLDextrose monohydrate — 50 g/1000mL
Dosage form
Injection, Solution
Route
Intravenous
Product type
Prescription drug
Marketing category
NDA — New Drug ApplicationApplication NDA 019685
Marketing start
Listing expires
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)Osmotic Activity (Mechanism)Osmotic Activity (Mechanism)Osmotic Activity (Mechanism)Phosphate Chelating Activity (Mechanism)Potassium Compounds (Chemical structure)
Identifiers
Product ID 0990-7111_168f3c37-b417-4efc-8a6a-8e27b9136249SPL ID 168f3c37-b417-4efc-8a6a-8e27b9136249SPL set ID 237b39fa-916e-4a54-99c8-4ae9ad54f056RxCUI 847626UNII 660YQ98I10, 451W47IQ8X, M4I0D6VV5M, TU7HW0W0QT, LX22YL083G
Pharmacologic class
Blood Coagulation Factor; Osmotic Laxative; Phosphate Binder; Potassium Salt

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

N400990711109 followed by a unit qualifier and the quantity

Package 00990-7111-09. 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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