NDC codes

FDA NDC Directory
Product NDC (as listed)0990-7111Labeler and product segments. Claims need a package NDC.
Product NDC at billing width00990-7111Add 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
0990-7111-09009907111090099071110912 POUCH in 1 CASE (0990-7111-09) / 1 BAG in 1 POUCH / 1000 mL in 1 BAGMarketed from Nov 25, 2019

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

Generic name (nonproprietary)
potassium chloride, sodium chloride, calcium chloride, sodium lactate, and dextrose monohydrate
Active ingredients
Potassium chloride — 1.79 g/1000mLSodium chloride — 6 g/1000mLCalcium chloride — .2 g/1000mLSodium lactate — 3.1 g/1000mLDextrose monohydrate — 50 g/1000mL
Dosage form
Injection, Solution
Route
Intravenous
Labeler
ICU Medical Inc.NDC labeler code 0990
Product type
Prescription drug
Marketing category
NDA — New Drug ApplicationApplication NDA 019685
Marketing start
Listing expires
Other FDA classes
Calcium (Chemical structure)Divalent (Chemical structure)Increased Coagulation Factor Activity (Physiologic effect)Increased Large Intestinal Motility (Physiologic effect)Increased Large Intestinal Motility (Physiologic effect)Increased Large Intestinal Motility (Physiologic effect)Inhibition Large Intestine Fluid/Electrolyte Absorption (Physiologic effect)Inhibition Large Intestine Fluid/Electrolyte Absorption (Physiologic effect)Inhibition Large Intestine Fluid/Electrolyte Absorption (Physiologic effect)Osmotic Activity (Mechanism)Osmotic Activity (Mechanism)Osmotic Activity (Mechanism)Phosphate Chelating Activity (Mechanism)Potassium Compounds (Chemical structure)
Identifiers
Product ID 0990-7111_168f3c37-b417-4efc-8a6a-8e27b9136249SPL ID 168f3c37-b417-4efc-8a6a-8e27b9136249SPL set ID 237b39fa-916e-4a54-99c8-4ae9ad54f056RxCUI 847626UNII 660YQ98I10, 451W47IQ8X, M4I0D6VV5M, TU7HW0W0QT, LX22YL083G
Pharmacologic class
Blood Coagulation Factor; Osmotic Laxative; Phosphate Binder; Potassium Salt

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

N400990711109 followed by a unit qualifier and the quantity

Package 00990-7111-09. 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 This solution is indicated in patients requiring parenteral administration of potassium chloride and the replacement of extracellular losses of fluids and electrolytes with minimal carbohydrate calories.

Excerpt only. Read the full label for complete information.

Full label on DailyMed (opens in a new tab)

About NDC 0990-7111

What is NDC 0990-7111?
0990-7111 is the product NDC for Potassium Chloride in Lactated Ringers and Dextrose, Potassium chloride 1.79 g/1000mL + 4 more ingredients injection, solution, listed with the FDA by ICU Medical Inc.. It has 1 package NDC, shown above in 10- and 11-digit form.
What drug is associated with this NDC?
Potassium Chloride in Lactated Ringers and Dextrose (POTASSIUM CHLORIDE, SODIUM CHLORIDE, CALCIUM CHLORIDE, SODIUM LACTATE, and DEXTROSE MONOHYDRATE).
What is the active ingredient?
Potassium chloride, Sodium chloride, Calcium chloride, Sodium lactate, Dextrose monohydrate.
Who is the labeler?
ICU Medical Inc., NDC labeler code 0990. The labeler is the company responsible for the label; it may be the manufacturer, a repackager or a distributor.
What other NDCs exist for Potassium Chloride in Lactated Ringers and Dextrose?
2 other product NDCs are listed under this name. See all Potassium Chloride in Lactated Ringers and Dextrose NDCs.
Is there a related HCPCS / J-code?
Not in Med-Code's curated HCPCS directory. See Billing references above.

Other finished products listed under the same name: strengths, forms and labelers.

Other Potassium Chloride in Lactated Ringers and Dextrose NDCs
ProductStrengthForm · routeLabelerProduct NDCPackage NDCs (11-digit)
Potassium Chloride in Lactated Ringers and Dextrosepotassium chloride, sodium chloride, calcium chloride, sodium lactate, and dextrose monohydratePotassium chloride 1.79 g/1000mL + 4 more ingredientsInjection, SolutionIntravenousFresenius Kabi USA, LLC65219-24665219-0246-10
Potassium Chloride in Lactated Ringers and Dextrosedextrose monohydrate, sodium chloride, sodium lactate, potassium chloride, calcium chlorideDextrose monohydrate 5 g/100mL + 4 more ingredientsInjection, SolutionIntravenousBaxter Healthcare Corporation0338-081100338-0811-04

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