NDC codes

FDA NDC Directory
Product NDC (as listed)69866-1030Labeler and product segments. Claims need a package NDC.
Product NDC at billing width69866-1030Add 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
69866-1030-5698661030051 BAG in 1 BOX (69866-1030-5) / 1 BOTTLE, PLASTIC in 1 BAG (69866-1030-4) / 1 IMPLANT in 1 BOTTLE, PLASTIC (69866-1030-3)Marketed from Jun 9, 2017
69866-1030-8698661030082 BAG in 1 BOX (69866-1030-8) / 1 BOTTLE, PLASTIC in 1 BAG (69866-1030-7) / 1 IMPLANT in 1 BOTTLE, PLASTIC (69866-1030-6)Marketed from Jun 9, 2017

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)
Maci
Generic name (nonproprietary)
autologous cultured chondrocytes
Active ingredients
Autologous cultured chondrocytes — 15000000 1/1Pork collagen — 15 cm2/1
Dosage form
Implant
Route
Intra-articular
Product type
Cellular therapy
Marketing category
BLA — Biologics License ApplicationApplication BLA 125603
Marketing start
Listing expires
Other FDA classes
Autologous (EXT)Chondrocytes (Chemical structure)
Identifiers
Product ID 69866-1030_087aff67-ddb3-4562-8959-b37b5d05aec3SPL ID 087aff67-ddb3-4562-8959-b37b5d05aec3SPL set ID 0c336c02-8c4c-4aa8-a992-9d2890a2539cUNII D5P3K3V822, I8442U2G7J
Pharmacologic class
Autologous Cultured Cell

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

N469866103005 followed by a unit qualifier and the quantity

Package 69866-1030-05. 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)

MACI ® (autologous cultured chondrocytes on porcine collagen membrane) is an autologous cellularized scaffold product indicated for the repair of single or multiple symptomatic, full-thickness cartilage defects of the knee with or without bone involvement in adults. Limitations of Use Effectiveness of MACI in joints other than the knee has not been established. Safety and effectiveness of MACI in patients over the age of 55 years have not been established. MACI ® is an autologous cellularized scaffold product indicated for the repair of symptomatic, single or multiple full-thickness cartilage defects of the knee with or without bone involvement in adults. ( 1 ) Limitations of Use Effectivene…

Excerpt only. Read the full label for complete information.

Full label on DailyMed (opens in a new tab)

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