NDC codes

FDA NDC Directory
Product NDC (as listed)0404-9975Labeler and product segments. Claims need a package NDC.
Product NDC at billing width00404-9975Add 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
0404-9975-50004049975501 VIAL in 1 BAG (0404-9975-50) / 50 mL in 1 VIALMarketed from Jan 10, 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)
Xylocaine
Generic name (nonproprietary)
lidocaine hydrochloride, epinephrine bitartrate injection, solution
Active ingredients
Lidocaine hydrochloride anhydrous5 mg/mLEpinephrine bitartrate.005 mg/mL
Dosage form
Injection, Solution
Route
Infiltration, Perineural
Product type
Prescription drug
Marketing category
NDA — New Drug ApplicationApplication NDA 006488
Marketing start
Listing expires
Other FDA classes
Adrenergic alpha-Agonists (Mechanism)Adrenergic beta-Agonists (Mechanism)Amides (Chemical structure)Catecholamines (Chemical structure)Local Anesthesia (Physiologic effect)
Identifiers
Product ID 0404-9975_d3bb4e49-d2c4-49be-b897-e7198382cf0dSPL ID d3bb4e49-d2c4-49be-b897-e7198382cf0dSPL set ID 9e8d0318-b2fe-4084-aedf-de97f61605a8RxCUI 1010745, 1010749UNII EC2CNF7XFP, 30Q7KI53AK
Pharmacologic class
Amide Local Anesthetic; Antiarrhythmic; Catecholamine; alpha-Adrenergic Agonist; beta-Adrenergic Agonist

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

N400404997550 followed by a unit qualifier and the quantity

Package 00404-9975-50. 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 & USAGE Xylocaine (lidocaine HCl) Injections are indicated for production of local or regional anesthesia by infiltration techniques such as percutaneous injection and intravenous regional anesthesia by peripheral nerve block techniques such as brachial plexus and intercostal and by central neural techniques such as lumbar and caudal epidural blocks, when the accepted procedures for these techniques as described in standard textbooks are observed.

Excerpt only. Read the full label for complete information.

Full label on DailyMed (opens in a new tab)

Other NDCs under NDA 006488

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

FDA NDC Directory listings under NDA 006488
ProductStrengthForm · routeLabelerProduct NDC
Xylocainelidocaine hydrochlorideLidocaine hydrochloride anhydrous 20 mg/mLInjection, SolutionInfiltration, PerineuralSportpharm LLC85766-018
Xylocainelidocaine hydrochloride and epinephrineLidocaine hydrochloride anhydrous 20 mg/mL; Epinephrine bitartrate .01 mg/mLInjection, SolutionInfiltration, PerineuralHenry Schein, Inc.0404-9976
Xylocainelidocaine hydrochlorideLidocaine hydrochloride anhydrous 10 mg/mLInjection, SolutionInfiltration, PerineuralHenry Schein, Inc.0404-9973
Xylocainelidocaine hclLidocaine hydrochloride anhydrous 20 mg/mLInjection, SolutionInfiltration, PerineuralHenry Schein, Inc.0404-9974
Xylocaine MPFlidocaine hydrochlorideLidocaine hydrochloride anhydrous 20 mg/mLInjection, SolutionEpidural, Infiltration, Intracaudal, PerineuralSportpharm LLC85766-256
Lidocaine Hci And EpinephrineLidocaine hydrochloride anhydrous 20 mg/mL; Epinephrine bitartrate .01 mg/mLInjection, SolutionInfiltration, PerineuralHF Acquisition Co LLC, DBA HealthFirst51662-1505
Lidocaine Hci And EpinephrineLidocaine hydrochloride anhydrous 20 mg/mL; Epinephrine bitartrate .01 mg/mLInjection, SolutionInfiltration, PerineuralHF Acquisition Co LLC, DBA HealthFirst51662-1506
Xylocainelidocaine hydrochloride and epinephrineLidocaine hydrochloride anhydrous 10 mg/mL; Epinephrine bitartrate .01 mg/mLInjection, SolutionInfiltration, PerineuralHenry Schein, Inc.0404-9977
Xylocaine-Mpf With EpiEpinephrine bitartrate .005 mg/mL; Lidocaine hydrochloride anhydrous 20 mg/mLInjection, SolutionEpidural, Infiltration, Intracaudal, PerineuralHF Acquisition Co LLC, DBA HealthFirst51662-1550
XylocaineLidocaine hydrochloride anhydrous 20 mg/mLInjection, SolutionInfiltration, PerineuralHF Acquisition Co LLC, DBA HealthFirst51662-1590
XYLOCAIN (LIDOCAINE HCl )xylocaine (lidocaine hcl )Lidocaine hydrochloride anhydrous 10 mg/mLInjection, SolutionInfiltration, PerineuralHF Acquisition Co LLC, DBA HealthFirst51662-1587
XylocaineLidocaine hydrochloride anhydrous 10 mg/mLInjection, SolutionInfiltration, PerineuralHF Acquisition Co LLC, DBA HealthFirst51662-1591
Xylocainelidocaine hydrochlorideLidocaine hydrochloride anhydrous 20 mg/mLInjection, SolutionInfiltration, PerineuralAsclemed USA, Inc.76420-369
XYLOCAINE- MPF (LIDOCAINE HCl )lidocaine hclLidocaine hydrochloride anhydrous 20 mg/mLInjection, SolutionEpidural, Infiltration, Intracaudal, PerineuralHF Acquisition Co LLC, DBA HealthFirst51662-1604
Xylocainelidocaine hydrochloride,epinephrine bitartrateLidocaine hydrochloride anhydrous 20 mg/mL; Epinephrine bitartrate .01 mg/mLInjection, SolutionInfiltration, PerineuralA-S Medication Solutions50090-6851
XylocaineEpinephrine bitartrate .01 mg/mL; Lidocaine hydrochloride anhydrous 10 mg/mLInjection, SolutionInfiltration, PerineuralHF Acquisition Co LLC, DBA HealthFirst51662-1622
Xylocaine MpfLidocaine hydrochloride anhydrous 10 mg/mLInjection, SolutionEpidural, Infiltration, Intracaudal, PerineuralHF Acquisition Co LLC, DBA HealthFirst51662-1644
XylocaineLidocaine hydrochloride anhydrous 10 mg/mLInjection, SolutionInfiltration, PerineuralHF Acquisition Co LLC, DBA HealthFirst51662-1645
Xylocaine Mpflidocaine hydrochlorideLidocaine hydrochloride anhydrous 5 mg/mLInjection, SolutionInfiltrationHF Acquisition Co LLC, DBA HealthFirst51662-1653
Xylocaine Mpflidocaine hydrochlorideLidocaine hydrochloride anhydrous 10 mg/mLInjection, SolutionEpidural, Infiltration, Intracaudal, PerineuralHF Acquisition Co LLC, DBA HealthFirst51662-1654

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