NDC codes

FDA NDC Directory
Product NDC (as listed)22840-0223Labeler and product segments. Claims need a package NDC.
Product NDC at billing width22840-0223Add 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
22840-0223-22284002230210 mL in 1 VIAL, MULTI-DOSE (22840-0223-2)Marketed from Sep 15, 1968
22840-0223-42284002230450 mL in 1 VIAL, MULTI-DOSE (22840-0223-4)Marketed from Sep 15, 1968
22840-0223-5228400223055 mL in 1 BOTTLE, DROPPER (22840-0223-5)Marketed from Sep 15, 1968

How the 11-digit form is made: The package segment has 1 digit, so one leading zero is added to it (5-4-1 → 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)
7 Standardized Grass Pollen Mix
Generic name (nonproprietary)
poa pratensis, festuca elatior, dactylis glomerata, lolium perenne, agrositis alba, anthoxanthum odoratum, and phleum pratense
Active ingredients
Poa pratensis pollen — 14285.714 [BAU]/mLAgrostis gigantea pollen — 14285.714 [BAU]/mLLolium perenne pollen — 14285.714 [BAU]/mLLolium pratense pollen — 14285.714 [BAU]/mLAnthoxanthum odoratum pollen — 14285.714 [BAU]/mLDactylis glomerata pollen — 14285.714 [BAU]/mLPhleum pratense pollen — 14285.714 [BAU]/mL
Dosage form
Solution
Route
Intradermal, Percutaneous, Subcutaneous
Product type
Standardized allergenic
Marketing category
BLA — Biologics License ApplicationApplication BLA 101837
Marketing start
Listing expires
Other FDA classes
Allergens (Chemical structure)Allergens (Chemical structure)Allergens (Chemical structure)Allergens (Chemical structure)Allergens (Chemical structure)Allergens (Chemical structure)Allergens (Chemical structure)Cell-mediated Immunity (Physiologic effect)Cell-mediated Immunity (Physiologic effect)Cell-mediated Immunity (Physiologic effect)Cell-mediated Immunity (Physiologic effect)Cell-mediated Immunity (Physiologic effect)Cell-mediated Immunity (Physiologic effect)Cell-mediated Immunity (Physiologic effect)Increased Histamine Release (Physiologic effect)Increased Histamine Release (Physiologic effect)Increased Histamine Release (Physiologic effect)Increased Histamine Release (Physiologic effect)Increased Histamine Release (Physiologic effect)Increased Histamine Release (Physiologic effect)Increased Histamine Release (Physiologic effect)Increased IgG Production (Physiologic effect)Increased IgG Production (Physiologic effect)Increased IgG Production (Physiologic effect)Increased IgG Production (Physiologic effect)Increased IgG Production (Physiologic effect)Increased IgG Production (Physiologic effect)Increased IgG Production (Physiologic effect)Pollen (Chemical structure)Pollen (Chemical structure)Pollen (Chemical structure)Pollen (Chemical structure)Pollen (Chemical structure)Pollen (Chemical structure)Pollen (Chemical structure)
Identifiers
Product ID 22840-0223_37385fc6-1cdd-8aa6-e063-6294a90a6017SPL ID 37385fc6-1cdd-8aa6-e063-6294a90a6017
Pharmacologic class
Non-Standardized Pollen Allergenic Extract; Standardized Pollen Allergenic Extract

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

N422840022302 followed by a unit qualifier and the quantity

Package 22840-0223-02. 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

The FDA listing for this product does not reference a label (SPL) set.

Other NDCs under BLA 101837

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

FDA NDC Directory listings under BLA 101837
ProductStrengthForm · routeLabelerProduct NDC
Standardized Kentucky (June) Bluegrass Pollenpoa pratensisPoa pratensis pollen 10000 [BAU]/mLSolutionIntradermal, Percutaneous, SubcutaneousGreer Laboratories, Inc.22840-0201
Standardized Kentucky (June) Bluegrass Pollenpoa pratensisPoa pratensis pollen 100000 [BAU]/mLSolutionIntradermal, Percutaneous, SubcutaneousGreer Laboratories, Inc.22840-0202
7 Standardized Grass Pollen Mixpoa pratensis, festuca elatior, dactylis glomerata, lolium perenne, agrositis alba, anthoxanthum odoratum, and phleum pratensePoa pratensis pollen 1428.5714 [BAU]/mL + 6 more ingredientsSolutionIntradermal, Percutaneous, SubcutaneousGreer Laboratories, Inc.22840-0222
K-O-R-T Standardized Grass Pollen Mixpoa pratensis, dactylis glomerata, agrostis alba and phleum pratenseAgrostis gigantea pollen 25000 [BAU]/mL + 3 more ingredientsSolutionIntradermal, Percutaneous, SubcutaneousGreer Laboratories, Inc.22840-0219
K-O-R-T and Sweet Vernal Standardized Grass Pollen Mixpoa pratensis, dactylis glomerata, agrostis alba, phleum pratense, and anthoxanthum odoratumAgrostis gigantea pollen 2000 [BAU]/mL + 4 more ingredientsSolutionIntradermal, Percutaneous, SubcutaneousGreer Laboratories, Inc.22840-0220
K-O-R-T and Sweet Vernal Standardized Grass Pollen Mixpoa pratensis, dactylis glomerata, agrostis alba, phleum pratense, and anthoxanthum odoratumAgrostis gigantea pollen 20000 [BAU]/mL + 4 more ingredientsSolutionIntradermal, Percutaneous, SubcutaneousGreer Laboratories, Inc.22840-0221
9 Southern Grass Pollen Mixpoa pratensis, festuca elatior, dactylis glomerata, lolium perenne, agrositis alba, anthoxanthum odoratum, and phleum pratenseCynodon dactylon pollen 11111.11111 [BAU]/mL + 8 more ingredientsSolutionIntradermal, Percutaneous, SubcutaneousGreer Laboratories, Inc.22840-0225
K-O-R-T Standardized Grass Pollen Mixpoa pratensis, dactylis glomerata, agrostis alba and phleum pratenseAgrostis gigantea pollen 2500 [BAU]/mL + 3 more ingredientsSolutionIntradermal, Percutaneous, SubcutaneousGreer Laboratories, Inc.22840-0218
K-O-T Standardized Grass Pollen Mixpoa pratensis, dactylis glomerata and phleum pratensePoa pratensis pollen 3333.333 [BAU]/mL + 2 more ingredientsSolutionIntradermal, Percutaneous, SubcutaneousGreer Laboratories, Inc.22840-0216
K-O-T Standardized Grass Pollen Mixpoa pratensis, dactylis glomerata and phleum pratensePoa pratensis pollen 33333.333 [BAU]/mL + 2 more ingredientsSolutionIntradermal, Percutaneous, SubcutaneousGreer Laboratories, Inc.22840-0217

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