NDC codes

FDA NDC Directory
Product NDC (as listed)0264-1510Labeler and product segments. Claims need a package NDC.
Product NDC at billing width00264-1510Add 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
0264-1510-310026415103184 CONTAINER in 1 CASE (0264-1510-31) / 50 mL in 1 CONTAINERMarketed from Dec 21, 1973
0264-1510-320026415103264 CONTAINER in 1 CASE (0264-1510-32) / 100 mL in 1 CONTAINERMarketed from Dec 21, 1973
0264-1510-3600264151036116 CONTAINER in 1 CASE (0264-1510-36) / 25 mL in 1 CONTAINERMarketed from Dec 21, 1973

How the 11-digit form is made: The labeler segment has 4 digits, so one leading zero is added to it (4-4-2 → 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)
Dextrose
Generic name (nonproprietary)
dextrose
Active ingredients
Dextrose monohydrate — 50 mg/mL
Dosage form
Injection, Solution
Route
Intravenous
Product type
Prescription drug
Marketing category
NDA — New Drug ApplicationApplication NDA 016730
Marketing start
Listing expires
Identifiers
Product ID 0264-1510_638a41c3-0f07-4d1a-bb4e-1bab16e61266SPL ID 638a41c3-0f07-4d1a-bb4e-1bab16e61266SPL set ID 60b6d7c3-0164-46c9-aa38-b5aa1c31a5d5RxCUI 1795609, 1795616, 1795618UNII LX22YL083G

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

N400264151031 followed by a unit qualifier and the quantity

Package 00264-1510-31. 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)

Dextrose Injection (5%) is indicated as a source of water and calories in adult and pediatric patients, and may also be used as a diluent for reconstitution of a powder or liquid drug product. Dextrose Injection (5%) is indicated as a source of water and calories in adult and pediatric patients, and may also be used as a diluent for reconstitution of a powder or liquid drug product. ( 1 )

Excerpt only. Read the full label for complete information.

Full label on DailyMed (opens in a new tab)

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