NDC codes

FDA NDC Directory
Product NDC (as listed)63083-4004Labeler and product segments. Claims need a package NDC.
Product NDC at billing width63083-4004Add 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
63083-4004-26308340040259 mL in 1 BOTTLE, DROPPER (63083-4004-2)Marketed from Aug 15, 1985

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)
Vaccinosis Nosode 4004Suffix: 4004
Generic name (nonproprietary)
vaccinosis nosode
Active ingredients
Oyster shell calcium carbonate, Crude — 6 [hp_X]/59mLSilicon dioxide — 6 [hp_X]/59mLThuja occidentalis leaf — 6 [hp_X]/59mLDiphenyltrichloroethane — 30 [hp_X]/59mLLaurtrimonium bromide — 30 [hp_X]/59mLMumps virus — 30 [hp_X]/59mLAnguilla rostrata blood serum — 30 [hp_X]/59mLSerum, Horse — 30 [hp_X]/59mLClostridium tetani toxoid antigen (Formaldehyde inactivated) — 30 [hp_X]/59mL
Dosage form
Liquid
Route
Oral
Product type
Over-the-counter drug
Marketing category
Unapproved homeopathic
Marketing start
Listing expires
Other FDA classes
Actively Acquired Immunity (Physiologic effect)Tetanus Toxoid (Chemical structure)Inactivated (Chemical structure)
Identifiers
Product ID 63083-4004_2edeb83d-2ef5-46ef-898e-93e1e0c40569SPL ID 2edeb83d-2ef5-46ef-898e-93e1e0c40569SPL set ID dff675b3-6330-45d0-984c-526a8f44202bUNII 2E32821G6I, ETJ7Z6XBU4, 0T0DQN8786, DCE98CK2EW, 6IC8NZ97S2, YF0S03R447, L7B16ESD1U, QHD0E51VON, K3W1N8YP13
Pharmacologic class
Inactivated Clostridium Tetani Vaccine

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.

Administration

Immunization administration (CPT 90460–90474)

Giving a vaccine is reported separately from the vaccine product code, with an immunization administration code. Which code applies depends on the patient's age, the route and whether counselling was provided.

How CPT relates to drug billing

NDC on a medical claim

N463083400402 followed by a unit qualifier and the quantity

Package 63083-4004-02. 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

Current FDA label (SPL), effective .

Indications (excerpt from the label)

INDICATIONS For the temporary relief of aches, pains, or stiffness of muscles or joints, occasional headache, tiredness, or upset stomach.*

Excerpt only. Read the full label for complete information.

Full label on DailyMed (opens in a new tab)

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