NDC codes

FDA NDC Directory
Product NDC (as listed)61657-2104Labeler and product segments. Claims need a package NDC.
Product NDC at billing width61657-2104Add 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
61657-2104-16165721040130 mL in 1 BOTTLE, DROPPER (61657-2104-1)Marketed from Nov 1, 2018

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)
Chron Sino
Generic name (nonproprietary)
arsenicum alb, baptisia, echinacea, hydrastis, kali bic, mag phos, merc solub, phytolacca, pulsatilla, rhus tox, sepia
Active ingredients
Arsenic trioxide — 12 [hp_X]/30mLBaptisia tinctoria root — 3 [hp_X]/30mLEchinacea angustifolia — 3 [hp_X]/30mLGoldenseal — 5 [hp_X]/30mLPotassium dichromate — 12 [hp_X]/30mLMagnesium phosphate, Dibasic trihydrate — 12 [hp_X]/30mLMercurius solubilis — 12 [hp_X]/30mLPhytolacca americana root — 3 [hp_X]/30mLAnemone pulsatilla — 12 [hp_X]/30mLToxicodendron pubescens leaf — 12 [hp_X]/30mLSepia officinalis juice — 12 [hp_X]/30mL
Dosage form
Liquid
Route
Oral
Product type
Over-the-counter drug
Marketing category
Unapproved homeopathic
Marketing start
Listing expires
Other FDA classes
Increased Large Intestinal Motility (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)Stimulation Large Intestine Fluid/Electrolyte Secretion (Physiologic effect)
Identifiers
Product ID 61657-2104_b970a9e9-d62b-1700-e053-2a95a90a3898SPL ID b970a9e9-d62b-1700-e053-2a95a90a3898SPL set ID e743ddb5-e193-4acf-bdf8-0b8ca4b61990UNII S7V92P67HO, 5EF0HWI5WU, VB06AV5US8, ZW3Z11D0JV, T4423S18FM, HF539G9L3Q, 324Y4038G2, 11E6VI8VEG, I76KB35JEV, 6IO182RP7A, QDL83WN8C2
Pharmacologic class
Calculi Dissolution Agent; Osmotic Laxative

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 HCPCS code in Med-Code's directory. Oral products like this are usually dispensed by a pharmacy and billed by NDC.

NDC on a medical claim

N461657210401 followed by a unit qualifier and the quantity

Package 61657-2104-01. 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

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