NDC codes

FDA NDC Directory
Product NDC (as listed)76128-155Labeler and product segments. Claims need a package NDC.
Product NDC at billing width76128-0155Add 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
76128-155-75761280155751 VIAL in 1 BOX, UNIT-DOSE (76128-155-75) / 31.8 mL in 1 VIALMarketed from Dec 27, 1995

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)
Photofrin
Generic name (nonproprietary)
porfimer sodium
Active ingredients
Porfimer sodium — 75 mg/31.8mL
Dosage form
Injection, Powder, For solution
Route
Intravenous
Labeler
Pinnacle Biologics, Inc.NDC labeler code 76128
Product type
Prescription drug
Marketing category
NDA — New Drug ApplicationApplication NDA 020451
Marketing start
Listing expires
Other FDA classes
Photoabsorption (Mechanism)Photosensitizing Activity (Physiologic effect)
Identifiers
Product ID 76128-155_a11b84ff-6eb6-4bba-9c7c-6d41bdfe2d57SPL ID a11b84ff-6eb6-4bba-9c7c-6d41bdfe2d57SPL set ID 5c4841b4-fbc0-4163-8ee1-cb28629cbfbfRxCUI 242166, 687066UNII Y3834SIK5FUPC 0376128155756
Pharmacologic class
Photoactivated Radical Generator

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

N476128015575 followed by a unit qualifier and the quantity

Package 76128-0155-75. 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)

PHOTOFRIN is a photoactivated radical generator indicated for: Esophageal Cancer ( 1.1 ) Palliation of patients with completely obstructing esophageal cancer, or of patients with partially obstructing esophageal cancer who, in the opinion of their physician, cannot be satisfactorily treated with Nd:YAG laser therapy Endobronchial Cancer ( 1.2 ) Treatment of microinvasive endobronchial non-small-cell lung cancer (NSCLC) in patients for whom surgery and radiotherapy are not indicated Reduction of obstruction and palliation of symptoms in patients with completely or partially obstructing endobronchial NSCLC High-Grade Dysplasia in Barrett’s Esophagus ( 1.3 ) Ablation of high-grade dysplasia (HG…

Excerpt only. Read the full label for complete information.

Full label on DailyMed (opens in a new tab)

About NDC 76128-155

What is NDC 76128-155?
76128-155 is the product NDC for Photofrin (porfimer sodium), Porfimer sodium 75 mg/31.8mL injection, powder, for solution, listed with the FDA by Pinnacle Biologics, Inc.. It has 1 package NDC, shown above in 10- and 11-digit form.
What drug is associated with this NDC?
Photofrin (Porfimer Sodium).
What is the active ingredient?
Porfimer sodium.
Who is the labeler?
Pinnacle Biologics, Inc., NDC labeler code 76128. The labeler is the company responsible for the label; it may be the manufacturer, a repackager or a distributor.
What other NDCs exist for Photofrin?
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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