Dextrose (dextrose monohydrate) NDC 17271-772

NDC codes

FDA NDC Directory

Product NDC (as listed)17271-772Labeler and product segments. Claims need a package NDC.

Product NDC at billing width17271-0772Add 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 NDC	11-digit (billing)	Package
17271-772-02	17271077202	60 BAG in 1 CASE (17271-772-02) / 50 mL in 1 BAGMarketed from Nov 10, 2021
17271-772-03	17271077203	50 BAG in 1 CASE (17271-772-03) / 100 mL in 1 BAGMarketed from Nov 10, 2021
17271-772-05	17271077205	30 BAG in 1 CASE (17271-772-05) / 250 mL in 1 BAGMarketed from Nov 10, 2021

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): Dextrose
Generic name (nonproprietary): dextrose monohydrate
Active ingredients: Dextrose monohydrate — 2500 mg/50mL
Dosage form: Injection, Solution
Route: Intravenous
Labeler: BECTON DICKINSON AND COMPANY
Product type: Prescription drug
Marketing category: ANDA — Abbreviated New Drug Application (generic)Application ANDA 207449
Marketing start: Oct 21, 2016
Listing expires: Dec 31, 2027
Identifiers: Product ID 17271-772_c1763362-1955-43ef-a295-c56e1cee5570SPL ID c1763362-1955-43ef-a295-c56e1cee5570SPL set ID 32132016-1870-481b-9816-e11beb03ca0bRxCUI 1795609, 1795610, 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

N417271077202 followed by a unit qualifier and the quantity

Package 17271-0772-02. 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

Label details couldn’t be retrieved right now. Open the label on DailyMed.