Dextrose And Sodium Chloride NDC 0264-7622

NDC codes

FDA NDC Directory

Product NDC (as listed)0264-7622Labeler and product segments. Claims need a package NDC.

Product NDC at billing width00264-7622Add 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 NDC	11-digit (billing)	Package	Copy
0264-7622-00	00264762200	12 CONTAINER in 1 CASE (0264-7622-00) / 1000 mL in 1 CONTAINERMarketed from Feb 24, 1988

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 And Sodium Chloride
Generic name (nonproprietary): dextrose and sodium chloride
Active ingredients: Dextrose, Unspecified form — 10 g/100mLSodium chloride — .45 g/100mL
Dosage form: Injection, Solution
Route: Intravenous
Labeler: B. Braun Medical Inc.
Product type: Prescription drug
Marketing category: NDA — New Drug ApplicationApplication NDA 019631
Marketing start: Feb 24, 1988
Listing expires: Dec 31, 2026
Other FDA classes: Increased Large Intestinal Motility (Physiologic effect)Inhibition Large Intestine Fluid/Electrolyte Absorption (Physiologic effect)Osmotic Activity (Mechanism)
Identifiers: Product ID 0264-7622_1e0af1ae-3754-4327-8037-1eb294c86cb6SPL ID 1e0af1ae-3754-4327-8037-1eb294c86cb6SPL set ID 8e6569ce-9714-497f-a94b-c6975c1d76f6RxCUI 244098, 245220, 687196, 1794881, 1794886, 1794887, 1795170, 1795171, 1795250, 1795252, 1795254, 1795344, 1795346, 1795470UNII 451W47IQ8X, IY9XDZ35W2
Pharmacologic class: Osmotic Laxative

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

N400264762200 followed by a unit qualifier and the quantity

Package 00264-7622-00. 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

Label details couldn’t be retrieved right now. Open the label on DailyMed.