NDC codes

FDA NDC Directory
Product NDC (as listed)0338-0170Labeler and product segments. Claims need a package NDC.
Product NDC at billing width00338-0170Add 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
0338-0170-010033801700130 BAG in 1 CARTON (0338-0170-01) / 50 mL in 1 BAGMarketed from Dec 7, 2022

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 monohydrate
Active ingredients
Dextrose monohydrate — 2.5 g/50mL
Dosage form
Injection
Route
Intravenous
Product type
Prescription drug
Marketing category
NDA — New Drug ApplicationApplication NDA 020179
Marketing start
Listing expires
Identifiers
Product ID 0338-0170_37df6e9b-6f57-4f8f-b2e4-86375c021192SPL ID 37df6e9b-6f57-4f8f-b2e4-86375c021192SPL set ID 9c80dfee-8923-4d1f-85b0-98bd68b94212RxCUI 1795609, 1795616UNII 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

N400338017001 followed by a unit qualifier and the quantity

Package 00338-0170-01. 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)

Dextrose Injection is indicated as source of water and calories and may also be used as diluent for reconstitution of a powdered or liquid (up to 10 mL) drug product packaged in a vial with a 13 mm or 20 mm closure. Dextrose Injection is indicated as a source of calories and water and may also be used as diluent for reconstitution of a powdered or liquid (up to 10 mL) drug product packaged in a vial with a 13mm or 20mm closure. ( 1 )

Excerpt only. Read the full label for complete information.

Full label on DailyMed (opens in a new tab)

Other NDCs under NDA 020179

Products listed under the same FDA application: other strengths and forms, and repackagers who relabel the same product.

FDA NDC Directory listings under NDA 020179
ProductStrengthForm · routeLabelerProduct NDC
Dextrosedextrose monohydrateDextrose monohydrate 5 g/100mLInjectionIntravenousBaxter Healthcare Company0338-0172
Dextrosedextrose monohydrateDextrose monohydrate 2.5 g/50mLInjectionIntravenousBaxter Healthcare Company0338-9143
Dextrosedextrose monohydrateDextrose monohydrate 2.5 g/50mLInjectionIntravenousBaxter Healthcare Company0338-0174
Dextrosedextrose monohydrateDextrose monohydrate 5 g/100mLInjectionIntravenousBaxter Healthcare Company0338-9147
Dextrosedextrose monohydrateDextrose monohydrate 5 g/100mLInjectionIntravenousBaxter Healthcare Company0338-0551
Dextrosedextrose monohydrateDextrose monohydrate 5 g/100mLInjectionIntravenousBaxter Healthcare Company0338-0176
Dextrosedextrose monohydrateDextrose monohydrate 2.5 g/50mLInjectionIntravenousBaxter Healthcare Corporation0338-0204
Dextrosedextrose monohydrateDextrose monohydrate 5 g/100mLInjectionIntravenousBaxter Healthcare Corporation0338-0208
Dextrosedextrose monohydrateDextrose monohydrate 2.5 g/50mLInjectionIntravenousBaxter Healthcare Company0338-9664
Dextrosedextrose monohydrateDextrose monohydrate 2.5 g/50mLInjectionIntravenousBaxter Healthcare Corporation0338-0211
Dextrosedextrose monohydrateDextrose monohydrate 5 g/100mLInjectionIntravenousBaxter Healthcare Company0338-9666
Dextrosedextrose monohydrateDextrose monohydrate 5 g/100mLInjectionIntravenousBaxter Healthcare Corporation0338-0216

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Dextrose (dextrose monohydrate) NDC 0338-0170 | Med-Code