NDC codes

FDA NDC Directory
Product NDC (as listed)63083-4023Labeler and product segments. Claims need a package NDC.
Product NDC at billing width63083-4023Add 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
63083-4023-26308340230259 mL in 1 BOTTLE, DROPPER (63083-4023-2)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)
Low Virus Nosode 4023Suffix: 4023
Generic name (nonproprietary)
low virus nosode
Active ingredients
Coxsackievirus a21 — 12 [hp_X]/59mLHuman herpesvirus 5 — 12 [hp_X]/59mLHuman herpesvirus 4 — 12 [hp_X]/59mLHaemophilus influenzae — 12 [hp_X]/59mLDalea foliolosa whole — 12 [hp_X]/59mLDraba verna whole — 12 [hp_X]/59mLJusticia spicigera leaf — 12 [hp_X]/59mLVaccinia virus strain new york city board of health live antigen — 12 [hp_X]/59mLHuman varicella-zoster immune globulin — 12 [hp_X]/59mLBacillus calmette-guerin live antigen, Unspecified substrain — 30 [hp_X]/59mLPoliovirus type 1 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)Actively Acquired Immunity (Physiologic effect)Poliovirus Vaccines (Chemical structure)Smallpox Vaccine (Chemical structure)Inactivated (Chemical structure)Unattenuated (Chemical structure)
Identifiers
Product ID 63083-4023_4dcb4518-ea81-46cc-8930-0fefd599fb8fSPL ID 4dcb4518-ea81-46cc-8930-0fefd599fb8fSPL set ID 670965b0-9b0b-4068-b089-701db0a5ac13UNII 4B57CWT710, 7COI029E6K, 2A26YW7PNX, K738E2MB3I, R2ZFR12IQ9, 11I0GD34ZJ, 2A6D37HK4A, 4SV59689SK, 33T61IWL27, 8VJE55B0VG, 0LVY784C09
Pharmacologic class
Inactivated Poliovirus Vaccine; Live Vaccinia Virus 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

N463083402302 followed by a unit qualifier and the quantity

Package 63083-4023-02. 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

Label details couldn’t be retrieved right now. Open the label on DailyMed.

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