NDC codes

FDA NDC Directory
Product NDC (as listed)65219-475Labeler and product segments. Claims need a package NDC.
Product NDC at billing width65219-0475Add 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
65219-475-306521904753030 BAG in 1 CASE (65219-475-30) / 250 mL in 1 BAG (65219-475-05)Marketed from Jan 28, 2019

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
Generic name (nonproprietary)
sodium chloride, sodium lactate, potassium chloride, calcium chloride
Active ingredients
Sodium chloride — 600 mg/100mLSodium lactate — 310 mg/100mLPotassium chloride — 30 mg/100mLCalcium chloride — 20 mg/100mL
Dosage form
Injection, Solution
Route
Intravenous
Product type
Prescription drug
Marketing category
ANDA — Abbreviated New Drug Application (generic)Application ANDA 209338
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 65219-475_78fe11b2-93f0-4243-9e96-f87a2e30d873SPL ID 78fe11b2-93f0-4243-9e96-f87a2e30d873SPL set ID 8fce1477-991f-4b43-bf05-a80bad897262RxCUI 847630UNII M4I0D6VV5M, 451W47IQ8X, 660YQ98I10, TU7HW0W0QT
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

N465219047530 followed by a unit qualifier and the quantity

Package 65219-0475-30. 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 AND USAGE: Lactated Ringer's Injection is indicated as a source of water and electrolytes or as an alkalinizing agent.

Excerpt only. Read the full label for complete information.

Full label on DailyMed (opens in a new tab)

Other NDCs under ANDA 209338

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

FDA NDC Directory listings under ANDA 209338
ProductStrengthForm · routeLabelerProduct NDC
Lactated Ringerssodium chloride, sodium lactate, potassium chloride, calcium chlorideSodium chloride 600 mg/100mL + 3 more ingredientsInjection, SolutionIntravenousFresenius Kabi USA, LLC63323-164
Lactated Ringerssodium chloride, sodium lactate, potassium chloride, calcium chlorideSodium chloride 600 mg/100mL + 3 more ingredientsInjection, SolutionIntravenousBecton Dickinson and Company17271-710
Lactated Ringerssodium chloride, sodium lactate, potassium chloride, calcium chlorideSodium chloride 600 mg/100mL + 3 more ingredientsInjection, SolutionIntravenousFresenius Kabi USA, LLC65219-479
Lactated Ringerssodium chloride, sodium lactate, potassium chloride, calcium chlorideSodium chloride 600 mg/100mL + 3 more ingredientsInjection, SolutionIntravenousFresenius Kabi USA, LLC65219-477

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