Lactated Ringers NDC 0990-7828

NDC codes

FDA NDC Directory

Product NDC (as listed)0990-7828Labeler and product segments. Claims need a package NDC.

Product NDC at billing width00990-7828Add 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	Copy
0990-7828-08	00990782808	4 POUCH in 1 CASE (0990-7828-08) / 1 BAG in 1 POUCH / 3000 mL in 1 BAGMarketed from Jul 1, 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): Lactated Ringers
Generic name (nonproprietary): sodium chloride, sodium lactate, potassium chloride, and calcium chloride
Active ingredients: Sodium chloride — 600 mg/100mLSodium lactate — 310 mg/100mLPotassium chloride — 30 mg/100mLCalcium chloride — 20 mg/100mL
Dosage form: Irrigant
Route: Irrigation
Labeler: ICU Medical Inc.
Product type: Prescription drug
Marketing category: NDA — New Drug ApplicationApplication NDA 019416
Marketing start: Jul 1, 2019
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)Osmotic Activity (Mechanism)Osmotic Activity (Mechanism)Osmotic Activity (Mechanism)Phosphate Chelating Activity (Mechanism)Potassium Compounds (Chemical structure)
Identifiers: Product ID 0990-7828_6107ad08-8667-46be-bb10-554b02c25564SPL ID 6107ad08-8667-46be-bb10-554b02c25564SPL set ID b96eb740-749a-4d3a-ae63-b8e3947cad30RxCUI 847628UNII 451W47IQ8X, TU7HW0W0QT, 660YQ98I10, M4I0D6VV5M
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.

NDC on a medical claim

N400990782808 followed by a unit qualifier and the quantity

Package 00990-7828-08. 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.