Standardized Perennial Ryegrass Pollen NDC 22840-0210

NDC codes

FDA NDC Directory

Product NDC (as listed)22840-0210Labeler and product segments. Claims need a package NDC.

Product NDC at billing width22840-0210Add 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
22840-0210-2	22840021002	10 mL in 1 VIAL, MULTI-DOSE (22840-0210-2)Marketed from Sep 15, 1968
22840-0210-4	22840021004	50 mL in 1 VIAL, MULTI-DOSE (22840-0210-4)Marketed from Sep 15, 1968
22840-0210-5	22840021005	5 mL in 1 BOTTLE, DROPPER (22840-0210-5)Marketed from Sep 15, 1968

How the 11-digit form is made: The package segment has 1 digit, so one leading zero is added to it (5-4-1 → 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): Standardized Perennial Ryegrass Pollen
Generic name (nonproprietary): lolium perenne
Active ingredients: Lolium perenne pollen — 100000 [BAU]/mL
Dosage form: Solution
Route: Intradermal, Percutaneous, Subcutaneous
Labeler: Greer Laboratories, Inc.
Product type: Standardized allergenic
Marketing category: BLA — Biologics License ApplicationApplication BLA 101841
Marketing start: Sep 15, 1968
Listing expires: Dec 31, 2026
Other FDA classes: Allergens (Chemical structure)Cell-mediated Immunity (Physiologic effect)Increased Histamine Release (Physiologic effect)Increased IgG Production (Physiologic effect)Pollen (Chemical structure)
Identifiers: Product ID 22840-0210_37385fc6-1cdd-8aa6-e063-6294a90a6017SPL ID 37385fc6-1cdd-8aa6-e063-6294a90a6017
Pharmacologic class: Standardized Pollen Allergenic Extract

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

N422840021002 followed by a unit qualifier and the quantity

Package 22840-0210-02. 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

The FDA listing for this product does not reference a label (SPL) set.

Other NDCs under BLA 101841

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

FDA NDC Directory listings under BLA 101841
Product	Strength	Form · route	Labeler	Product NDC
Standardized Perennial Ryegrass Pollenlolium perenne	Lolium perenne pollen 10000 [BAU]/mL	SolutionIntradermal, Percutaneous, Subcutaneous	Greer Laboratories, Inc.	22840-0209