NDC codes

FDA NDC Directory
Product NDC (as listed)10122-510Labeler and product segments. Claims need a package NDC.
Product NDC at billing width10122-0510Add 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
10122-510-01101220510011.5 mL in 1 VIAL, GLASS (10122-510-01)Marketed from Nov 18, 1999
10122-510-03101220510033 mL in 1 VIAL, GLASS (10122-510-03)Marketed from Nov 18, 1999

How the 11-digit form is made: The product segment has 3 digits, so one leading zero is added to it (5-3-2 → 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)
Curosurf
Generic name (nonproprietary)
poractant alfa
Active ingredients
Poractant alfa — 80 mg/mL
Dosage form
Suspension
Route
Endotracheal
Product type
Prescription drug
Marketing category
BLA — Biologics License ApplicationApplication BLA 020744
Marketing start
Listing expires
Other FDA classes
Alveolar Surface Tension Reduction (Physiologic effect)Surfactant Activity (Mechanism)
Identifiers
Product ID 10122-510_6b713a41-2648-43f4-9a10-cc41a7e83ca0SPL ID 6b713a41-2648-43f4-9a10-cc41a7e83ca0SPL set ID 99bef307-00bd-4379-9f45-ede1380e74d4RxCUI 259216, 261329UNII KE3U2023NP
Pharmacologic class
Surfactant

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

N410122051001 followed by a unit qualifier and the quantity

Package 10122-0510-01. 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)

CUROSURF ® (poractant alfa) Intratracheal Suspension is indicated for the rescue treatment of Respiratory Distress Syndrome (RDS) in premature infants. CUROSURF reduces mortality and pneumothoraces associated with RDS. CUROSURF is a surfactant indicated for the rescue treatment, including the reduction of mortality and pneumothoraces, of Respiratory Distress Syndrome (RDS) in premature infants. ( 1 )

Excerpt only. Read the full label for complete information.

Full label on DailyMed (opens in a new tab)

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