NDC codes

FDA NDC Directory
Product NDC (as listed)65219-241Labeler and product segments. Claims need a package NDC.
Product NDC at billing width65219-0241Add 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
65219-241-106521902411010 BAG in 1 CASE (65219-241-10) / 1000 mL in 1 BAG (65219-241-00)Marketed from Mar 28, 2022

How the 11-digit form is made: The product segment has 3 digits, so one leading zero is added to it (5-3-2 → 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)
Lactated Ringers and Dextrose
Generic name (nonproprietary)
sodium chloride, sodium lactate, potassium chloride, calcium chloride, and dextrose monohydrate
Active ingredients
Sodium chloride — 600 mg/100mLSodium lactate — 310 mg/100mLPotassium chloride — 30 mg/100mLCalcium chloride — 20 mg/100mLDextrose monohydrate — 5 g/100mL
Dosage form
Injection, Solution
Route
Intravenous
Product type
Prescription drug
Marketing category
ANDA — Abbreviated New Drug Application (generic)Application ANDA 210332
Marketing start
Listing expires
Other FDA classes
Calcium (Chemical structure)Divalent (Chemical structure)Increased Coagulation Factor Activity (Physiologic effect)Increased Large Intestinal Motility (Physiologic effect)Increased Large Intestinal Motility (Physiologic effect)Increased Large Intestinal Motility (Physiologic effect)Inhibition Large Intestine Fluid/Electrolyte Absorption (Physiologic effect)Inhibition Large Intestine Fluid/Electrolyte Absorption (Physiologic effect)Inhibition Large Intestine Fluid/Electrolyte Absorption (Physiologic effect)Osmotic Activity (Mechanism)Osmotic Activity (Mechanism)Osmotic Activity (Mechanism)Phosphate Chelating Activity (Mechanism)Potassium Compounds (Chemical structure)
Identifiers
Product ID 65219-241_b13e4afe-9bf1-4bf8-9674-e53ae5cb0fceSPL ID b13e4afe-9bf1-4bf8-9674-e53ae5cb0fceSPL set ID 1b912c7e-f005-4af4-b683-083440964249RxCUI 847627UNII 660YQ98I10, LX22YL083G, M4I0D6VV5M, TU7HW0W0QT, 451W47IQ8X
Pharmacologic class
Blood Coagulation Factor; Osmotic Laxative; Phosphate Binder; Potassium Salt

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

N465219024110 followed by a unit qualifier and the quantity

Package 65219-0241-10. 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.

Other NDCs under ANDA 210332

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

FDA NDC Directory listings under ANDA 210332
ProductStrengthForm · routeLabelerProduct NDC
Lactated Ringers and Dextrosesodium chloride, sodium lactate, potassium chloride, calcium chloride, and dextrose monohydrateSodium chloride 600 mg/100mL + 4 more ingredientsInjection, SolutionIntravenousFresenius Kabi USA, LLC65219-243

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