NDC codes

FDA NDC Directory
Product NDC (as listed)67684-1901Labeler and product segments. Claims need a package NDC.
Product NDC at billing width67684-1901Add 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
67684-1901-1676841901011 AMPULE in 1 CARTON (67684-1901-1) / 10 mL in 1 AMPULEMarketed from Mar 21, 2014
67684-1901-2676841901021 VIAL in 1 CARTON (67684-1901-2) / 10 mL in 1 VIALMarketed from Sep 28, 2018

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)
Lipiodol
Generic name (nonproprietary)
ethiodized oil
Active ingredients
Ethiodized oil — 480 mg/mL
Dosage form
Injection
Route
Intra-arterial, Intralymphatic, Intrauterine
Labeler
Guerbet LLCNDC labeler code 67684
Product type
Prescription drug
Marketing category
NDA — New Drug ApplicationApplication NDA 009190
Marketing start
Listing expires
Identifiers
Product ID 67684-1901_46155dba-f0cf-22b8-e063-6294a90a5997SPL ID 46155dba-f0cf-22b8-e063-6294a90a5997SPL set ID 511d1f64-5cb9-4baa-a123-96205467e59aUNII KZW0R0686Q

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.

NDC on a medical claim

N467684190101 followed by a unit qualifier and the quantity

Package 67684-1901-01. 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

Current FDA label (SPL), effective . This label includes a boxed warning.

Indications (excerpt from the label)

Lipiodol is an oil-based radio-opaque contrast agent indicated for: hysterosalpingography in adults lymphography in adult and pediatric patients selective hepatic intra-arterial use for imaging tumors in adults with known hepatocellular carcinoma (HCC) Lipiodol is an oil-based radiopaque contrast agent indicated for: hysterosalpingography in adults lymphography in adult and pediatric patients selective hepatic intra-arterial use for imaging tumors in adults with known hepatocellular carcinoma (HCC)

Excerpt only. Read the full label for complete information.

Full label on DailyMed (opens in a new tab)

About NDC 67684-1901

What is NDC 67684-1901?
67684-1901 is the product NDC for Lipiodol (ethiodized oil), Ethiodized oil 480 mg/mL injection, listed with the FDA by Guerbet LLC. It has 2 package NDCs, shown above in 10- and 11-digit form.
What drug is associated with this NDC?
Lipiodol (Ethiodized oil).
What is the active ingredient?
Ethiodized oil.
Who is the labeler?
Guerbet LLC, NDC labeler code 67684. The labeler is the company responsible for the label; it may be the manufacturer, a repackager or a distributor.
What other NDCs exist for Lipiodol?
None: this is the only finished product listed under this name.
Is there a related HCPCS / J-code?
Not in Med-Code's curated HCPCS directory. See Billing references above.

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