NDC codes

FDA NDC Directory
Product NDC (as listed)55150-438Labeler and product segments. Claims need a package NDC.
Product NDC at billing width55150-0438Add 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
55150-438-105515004381010 VIAL, MULTI-DOSE in 1 CARTON (55150-438-10) / 20 mL in 1 VIAL, MULTI-DOSEMarketed from Mar 15, 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)
Ketamine Hydrochloride
Generic name (nonproprietary)
ketamine hydrochloride
Active ingredients
Ketamine hydrochloride10 mg/mL
Dosage form
Injection
Route
Intramuscular, Intravenous
Product type
Prescription drug
Marketing category
ANDA — Abbreviated New Drug Application (generic)Application ANDA 076092
Marketing start
Listing expires
DEA schedule
CIII
Other FDA classes
General Anesthesia (Physiologic effect)
Identifiers
Product ID 55150-438_35913e3d-e141-4596-bc4c-72deb8cbf932SPL ID 35913e3d-e141-4596-bc4c-72deb8cbf932SPL set ID f8b01c77-620d-4734-a771-b8524b65bccaRxCUI 238082, 238083, 238084UNII O18YUO0I83
Pharmacologic class
General Anesthetic

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

N455150043810 followed by a unit qualifier and the quantity

Package 55150-0438-10. 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)

Ketamine hydrochloride injection is indicated: as the sole anesthetic agent for diagnostic and surgical procedures that do not require skeletal muscle relaxation. for the induction of anesthesia prior to the administration of other general anesthetic agents. as a supplement to other anesthetic agents. Ketamine hydrochloride is a general anesthetic indicated: as the sole anesthetic agent for diagnostic and surgical procedures that do not require skeletal muscle relaxation ( 1 ) for the induction of anesthesia prior to the administration of other general anesthetic agents ( 1 ) as a supplement to other anesthetic agents ( 1 ).

Excerpt only. Read the full label for complete information.

Full label on DailyMed (opens in a new tab)

Other NDCs under ANDA 076092

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

FDA NDC Directory listings under ANDA 076092
ProductStrengthForm · routeLabelerProduct NDC
Ketamine HydrochlorideKetamine hydrochloride 50 mg/mLInjectionIntramuscular, IntravenousEugia US LLC55150-439
Ketamine HydrochlorideKetamine hydrochloride 100 mg/mLInjectionIntramuscular, IntravenousEugia US LLC55150-440

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