NDC codes

FDA NDC Directory
Product NDC (as listed)0264-2304Labeler and product segments. Claims need a package NDC.
Product NDC at billing width00264-2304Add 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
0264-2304-000026423040016 CONTAINER in 1 CASE (0264-2304-00) / 1000 mL in 1 CONTAINERMarketed from Aug 6, 1979
0264-2304-100026423041016 CONTAINER in 1 CASE (0264-2304-10) / 500 mL in 1 CONTAINERMarketed from Aug 6, 1979

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)
Acetic Acid
Generic name (nonproprietary)
acetic acid
Active ingredients
Acetic acid — .25 g/100mL
Dosage form
Irrigant
Route
Irrigation
Product type
Prescription drug
Marketing category
NDA — New Drug ApplicationApplication NDA 018161
Marketing start
Listing expires
Identifiers
Product ID 0264-2304_ab98b143-e9d6-4869-9abf-708ec1004f57SPL ID ab98b143-e9d6-4869-9abf-708ec1004f57SPL set ID dd45cee3-9938-4dad-a5e1-1dd4baea85a9RxCUI 307707UNII Q40Q9N063P

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

N400264230400 followed by a unit qualifier and the quantity

Package 00264-2304-00. 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 0.25% Acetic Acid Irrigation USP is indicated as a constant or intermittent bladder rinse to help prevent the growth and proliferation of susceptible urinary pathogens (especially ammonia-forming bacteria) in the management of patients who require prolonged placement of an indwelling urethral catheter. It also may be used for periodic irrigation of an indwelling catheter to help maintain patency by reducing the formation of calcium encrustations.

Excerpt only. Read the full label for complete information.

Full label on DailyMed (opens in a new tab)

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