NDC codes

FDA NDC Directory
Product NDC (as listed)73254-310Labeler and product segments. Claims need a package NDC.
Product NDC at billing width73254-0310Add 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
73254-310-01732540310011 KIT in 1 CARTON (73254-310-01) * 5 mL in 1 SYRINGE, PLASTIC * 5 mL in 1 SYRINGE, PLASTICMarketed from Oct 16, 2020

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)
ExEm Foam
Generic name (nonproprietary)
air polymer-type a intrauterine foam
Dosage form
Kit
Route
Intrauterine
Labeler
GISKIT PHARMA B.V.NDC labeler code 73254
Product type
Prescription drug
Marketing category
NDA — New Drug ApplicationApplication NDA 212279
Marketing start
Listing expires
Identifiers
Product ID 73254-310_09acadb7-c0a2-d753-e063-6294a90af9a9SPL ID 09acadb7-c0a2-d753-e063-6294a90af9a9SPL set ID b8cb3e4d-ed22-4e88-abca-508c794b4b91UPC 0373254310011

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

N473254031001 followed by a unit qualifier and the quantity

Package 73254-0310-01. 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 .

Indications (excerpt from the label)

ExEm ® Foam is indicated for sonohysterosalpingography to assess fallopian tube patency in women with known or suspected infertility. ExEm ® Foam is an ultrasound contrast agent indicated for sonohysterosalpingography to assess fallopian tube patency in women with known or suspected infertility. ( 1 )

Excerpt only. Read the full label for complete information.

Full label on DailyMed (opens in a new tab)

About NDC 73254-310

What is NDC 73254-310?
73254-310 is the product NDC for ExEm Foam (air polymer-type a intrauterine foam) kit, listed with the FDA by GISKIT PHARMA B.V.. It has 1 package NDC, shown above in 10- and 11-digit form.
What drug is associated with this NDC?
ExEm Foam (Air Polymer-Type A Intrauterine Foam).
Who is the labeler?
GISKIT PHARMA B.V., NDC labeler code 73254. The labeler is the company responsible for the label; it may be the manufacturer, a repackager or a distributor.
What other NDCs exist for ExEm Foam?
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.

Free account

Keep searching with a free account

You’ve used your 3 free searches for this session. Log in or create a free Med-Code account to keep looking up NDCs, J-codes and drugs.

Create a free accountLog in