NDC codes

FDA NDC Directory
Product NDC (as listed)76420-624Labeler and product segments. Claims need a package NDC.
Product NDC at billing width76420-0624Add 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
76420-624-01764200624011 KIT in 1 CARTON (76420-624-01) * 25 VIAL in 1 CARTON (70121-1049-5) / 1 mL in 1 VIAL * 100 PACKET in 1 BOX (53329-941-30) / 1 mL in 1 PACKET * 2 mL in 1 AMPULE (0409-4713-42)Marketed from Dec 23, 2021

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)
Physician EZ Use Joint Tunnel and Trigger Kit II
Generic name (nonproprietary)
lidocaine hydrochloride, triamcinolone acetonide, povidone-iodine
Dosage form
Kit
Product type
Prescription drug
Marketing category
Unapproved drug (other)
Marketing start
Listing expires
Identifiers
Product ID 76420-624_47db08a3-0644-0b9c-e063-6394a90aa03aSPL ID 47db08a3-0644-0b9c-e063-6394a90aa03aSPL set ID 0d2d52ef-ff21-4b28-b8ae-6a46570f7a74RxCUI 797730, 1737568, 1792144

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

N476420062401 followed by a unit qualifier and the quantity

Package 76420-0624-01. 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)

INDICATIONS AND USAGE Intramuscular Where oral therapy is not feasible, injectable corticosteroid therapy, including triamcinolone acetonide injectable suspension is indicated for intramuscular use as follows: Allergic states: Control of severe or incapacitating allergic conditions intractable to adequate trials of conventional treatment in asthma, atopic dermatitis, contact dermatitis, drug hypersensitivity reactions, perennial or seasonal allergic rhinitis, serum sickness, transfusion reactions. Dermatologic diseases: Bullous dermatitis herpetiformis, exfoliative erythroderma, mycosis fungoides, pemphigus, severe erythema multiforme (Stevens-Johnson syndrome). Endocrine disorders: Primary …

Excerpt only. Read the full label for complete information.

Full label on DailyMed (opens in a new tab)

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