NDC codes

FDA NDC Directory
Product NDC (as listed)12165-100Labeler and product segments. Claims need a package NDC.
Product NDC at billing width12165-0100Add 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
12165-100-0112165010001100 STICK in 1 TUBE (12165-100-01)Marketed from Apr 19, 1949

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)
Grafco Applicator 15 CmSuffix: APPLICATOR 15 CM
Generic name (nonproprietary)
silver nitrate
Active ingredients
Silver nitrate — 38.21 mg/1Potassium nitrate — 12.74 mg/1
Dosage form
Stick
Route
Topical
Product type
Prescription drug
Marketing category
Unapproved drug (other)
Marketing start
Listing expires
Identifiers
Product ID 12165-100_2649734d-3624-4cf6-9fa7-b0cec914c214SPL ID 2649734d-3624-4cf6-9fa7-b0cec914c214SPL set ID 41a82a8c-9a4a-4610-a115-8d8c72a25b1eRxCUI 1117536UNII 95IT3W8JZE, RU45X2JN0Z

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 HCPCS code in Med-Code's directory. Topical products like this are usually dispensed by a pharmacy and billed by NDC.

NDC on a medical claim

N412165010001 followed by a unit qualifier and the quantity

Package 12165-0100-01. 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)

INDICATIONS AND USAGE: INDICATIONS: For cauterization of skin or mucous membrane and for removing warts and granulated tissue.

Excerpt only. Read the full label for complete information.

Full label on DailyMed (opens in a new tab)

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