NDC codes

FDA NDC Directory
Product NDC (as listed)71217-0053Labeler and product segments. Claims need a package NDC.
Product NDC at billing width71217-0053Add 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
71217-0053-2712170053026 POUCH in 1 PACKAGE (71217-0053-2) / 25 g in 1 POUCH (71217-0053-1)Marketed from Jan 15, 2023

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)
Purifying centella soothing mask
Generic name (nonproprietary)
limonene, linalool
Active ingredients
Limonene, (+)- — .00371146 g/100gLinalool, (+/-)- — .00109203 g/100g
Dosage form
Liquid
Route
Topical
Product type
Over-the-counter drug
Marketing category
Unapproved drug (other)
Marketing start
Listing expires
Identifiers
Product ID 71217-0053_f3752101-b0bd-7ec7-e053-2a95a90adabaSPL ID f3752101-b0bd-7ec7-e053-2a95a90adabaSPL set ID f375209f-11d7-efb6-e053-2995a90a7e13UNII GFD7C86Q1W, D81QY6I88E

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. Topical products like this are usually dispensed by a pharmacy and billed by NDC.

NDC on a medical claim

N471217005302 followed by a unit qualifier and the quantity

Package 71217-0053-02. 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)

1 after cleansing and toning, apply on clean skin and leave on for 10 to 20 minutes 2 remove the mask and gently massage remaining essence to penetrate the skin. no need to rinse

Excerpt only. Read the full label for complete information.

Full label on DailyMed (opens in a new tab)

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