NDC codes

FDA NDC Directory
Product NDC (as listed)61953-0020Labeler and product segments. Claims need a package NDC.
Product NDC at billing width61953-0020Add 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
61953-0020-1619530020011 SYRINGE, GLASS in 1 PACKAGE, COMBINATION (61953-0020-1) / 2 mL in 1 SYRINGE, GLASS (61953-0020-2)Marketed from Nov 1, 2019
61953-0020-3619530020031 SYRINGE, GLASS in 1 PACKAGE, COMBINATION (61953-0020-3) / 4 mL in 1 SYRINGE, GLASS (61953-0020-4)Marketed from Nov 1, 2019
61953-0020-5619530020051 SYRINGE, GLASS in 1 PACKAGE, COMBINATION (61953-0020-5) / 6 mL in 1 SYRINGE, GLASS (61953-0020-6)Marketed from Nov 1, 2019
61953-0020-7619530020071 SYRINGE, GLASS in 1 PACKAGE, COMBINATION (61953-0020-7) / 10 mL in 1 SYRINGE, GLASS (61953-0020-8)Marketed from Nov 1, 2019

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)
Vistaseal
Generic name (nonproprietary)
human fibrinogen, human thrombin
Active ingredients
Fibrinogen human — 80 mg/mLHuman thrombin — 500 [iU]/mL
Dosage form
Solution
Route
Topical
Labeler
GRIFOLS USA, LLCNDC labeler code 61953
Product type
Plasma derivative
Marketing category
BLA — Biologics License ApplicationApplication BLA 125640
Marketing start
Listing expires
Other FDA classes
Blood Coagulation Factors (Chemical structure)Blood Coagulation Factors (Chemical structure)Increased Coagulation Activity (Physiologic effect)Increased Coagulation Factor Activity (Physiologic effect)
Identifiers
Product ID 61953-0020_28f64c1d-b52d-4df0-b976-fe9c0cdd4170SPL ID 28f64c1d-b52d-4df0-b976-fe9c0cdd4170
Pharmacologic class
Human Blood Coagulation Factor

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. Topical products like this are usually dispensed by a pharmacy and billed by NDC.

NDC on a medical claim

N461953002001 followed by a unit qualifier and the quantity

Package 61953-0020-01. 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

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

About NDC 61953-0020

What is NDC 61953-0020?
61953-0020 is the product NDC for Vistaseal, Fibrinogen human 80 mg/mL; Human thrombin 500 [iU]/mL solution, listed with the FDA by GRIFOLS USA, LLC. It has 4 package NDCs, shown above in 10- and 11-digit form.
What drug is associated with this NDC?
Vistaseal (Human fibrinogen, human thrombin).
What is the active ingredient?
Fibrinogen human, Human thrombin.
Who is the labeler?
GRIFOLS USA, LLC, NDC labeler code 61953. The labeler is the company responsible for the label; it may be the manufacturer, a repackager or a distributor.
What other NDCs exist for Vistaseal?
3 other product NDCs are listed under this name. See all Vistaseal NDCs.
Is there a related HCPCS / J-code?
Not in Med-Code's curated HCPCS directory. See Billing references above.

Other finished products listed under the same name: strengths, forms and labelers.

Other Vistaseal NDCs
ProductStrengthForm · routeLabelerProduct NDCPackage NDCs (11-digit)
Vistasealhuman fibrinogen, human thrombin—KitGRIFOLS USA, LLC61953-001161953-0011-01
Vistasealhuman fibrinogen, human thrombin—KitGRIFOLS USA, LLC61953-001261953-0012-01
Vistasealhuman fibrinogen, human thrombin—KitGRIFOLS USA, LLC61953-001461953-0014-01

Other NDCs under BLA 125640

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

FDA NDC Directory listings under BLA 125640
ProductStrengthForm · routeLabelerProduct NDC
Vistasealhuman fibrinogen, human thrombin—KitGRIFOLS USA, LLC61953-0011
Vistasealhuman fibrinogen, human thrombin—KitGRIFOLS USA, LLC61953-0012
Vistasealhuman fibrinogen, human thrombin—KitGRIFOLS USA, LLC61953-0014

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