Anticoagulant Citrate Dextrose A ACD-A NDC 43203-852

NDC codes

FDA NDC Directory

Product NDC (as listed)43203-852Labeler and product segments. Claims need a package NDC.

Product NDC at billing width43203-0852Add 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	Copy
43203-852-47	43203085247	50 POUCH in 1 CASE (43203-852-47) / 1 BAG in 1 POUCH / 50 mL in 1 BAGMarketed from May 11, 2011

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): Anticoagulant Citrate Dextrose A ACD-A
Generic name (nonproprietary): anticoagulant citrate dextrose a acd-a
Active ingredients: Citric acid monohydrate — .08 g/10mLSodium citrate, Unspecified form — .22 g/10mLDextrose monohydrate — .245 g/10mL
Dosage form: Injection, Solution
Route: Extracorporeal
Labeler: Arteriocyte Medical Systems, Inc.
Product type: Prescription drug
Marketing category: ANDA — Abbreviated New Drug Application (generic)Application BA 110057
Marketing start: May 11, 2011
Listing expires: Dec 31, 2026
Other FDA classes: Acidifying Activity (Mechanism)Calcium Chelating Activity (Mechanism)Decreased Coagulation Factor Activity (Physiologic effect)Increased Large Intestinal Motility (Physiologic effect)Inhibition Large Intestine Fluid/Electrolyte Absorption (Physiologic effect)Osmotic Activity (Mechanism)
Identifiers: Product ID 43203-852_49c60185-a86d-44a7-a10e-d0ec57df1fbeSPL ID 49c60185-a86d-44a7-a10e-d0ec57df1fbeSPL set ID b850deac-161f-4bb0-ac7f-bceac2a230c0UNII 2968PHW8QP, 1Q73Q2JULR, LX22YL083G
Pharmacologic class: Anti-coagulant; Calculi Dissolution Agent; Osmotic Laxative

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

N443203085247 followed by a unit qualifier and the quantity

Package 43203-0852-47. 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 Jan 23, 2025.

Full label on DailyMed (opens in a new tab)

Other NDCs under BA 110057

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

FDA NDC Directory listings under BA 110057
Product	Strength	Form · route	Labeler	Product NDC
Anticoagulant Citrate Dextrose (ACD-A)dextrose monohydrate, sodium citrate, unspecified form, and citric acid monohydrate	Dextrose monohydrate .245 g/10mL + 2 more ingredients	SolutionIntravenous	Terumo BCT, Ltd	14537-820