Idelvion (coagulation factor ix recombinant human) NDC 69911-867

NDC codes

FDA NDC Directory

Product NDC (as listed)69911-867Labeler and product segments. Claims need a package NDC.

Product NDC at billing width69911-0867Add 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
69911-867-02	69911086702	1 KIT in 1 CARTON (69911-867-02) * 5 mL in 1 VIAL, SINGLE-USE (69911-877-01) * 5 mL in 1 VIAL, SINGLE-USE (69911-765-85)Marketed from Mar 4, 2016

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): Idelvion
Generic name (nonproprietary): coagulation factor ix recombinant human
Dosage form: Kit
Labeler: CSL Behring Lengnau AG
Product type: Plasma derivative
Marketing category: BLA — Biologics License ApplicationApplication BLA 125582
Marketing start: Mar 4, 2016
Listing expires: Dec 31, 2026
Identifiers: Product ID 69911-867_fc29c907-a767-4a0e-b077-8c197e7ce8b3SPL ID fc29c907-a767-4a0e-b077-8c197e7ce8b3

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

N469911086702 followed by a unit qualifier and the quantity

Package 69911-0867-02. 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 125582

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

FDA NDC Directory listings under BLA 125582
Product	Strength	Form · route	Labeler	Product NDC
Idelvioncoagulation factor ix recombinant human	—	Kit	CSL Behring Lengnau AG	69911-864
Idelvioncoagulation factor ix recombinant human	—	Kit	CSL Behring Lengnau AG	69911-869
Idelvioncoagulation factor ix recombinant human	—	Kit	CSL Behring Lengnau AG	69911-865
Idelvioncoagulation factor ix recombinant human	—	Kit	CSL Behring Lengnau AG	69911-866