NDC codes

FDA NDC Directory
Product NDC (as listed)73624-424Labeler and product segments. Claims need a package NDC.
Product NDC at billing width73624-0424Add 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
73624-424-0273624042402736240424026 PACKAGE in 1 CARTON (73624-424-02) / 1 KIT in 1 PACKAGE * 1 INJECTION, POWDER, LYOPHILIZED, FOR SOLUTION in 1 VIAL * 10 mL in 1 VIAL, PLASTIC (0409-4887-17)Marketed from Apr 1, 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)
Indocyanine Green
Generic name (nonproprietary)
indocyanine green and water
Dosage form
Kit
Labeler
Olympus America, Inc.NDC labeler code 73624
Product type
Prescription drug
Marketing category
ANDA — Abbreviated New Drug Application (generic)Application ANDA 040811
Marketing start
Listing expires
Identifiers
Product ID 73624-424_e6cdd6c3-3611-4ced-9cd6-6642718999deSPL ID e6cdd6c3-3611-4ced-9cd6-6642718999deSPL set ID 91c206e8-fab9-4bf3-afcf-304eddf0d54eUPC 0370100424014

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

N473624042402 followed by a unit qualifier and the quantity

Package 73624-0424-02. 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

Current FDA label (SPL), effective .

Indications (excerpt from the label)

Indocyanine Green for Injection USP is indicated: Indocyanine Green for Injection USP a tricarbocyanine dye, is indicated: • For visual assessment of blood vessels, blood flow and related tissue perfusion with OLYMPUS infrared compatible endoscopic imaging system ( 1.1 ) • For visual assessment of the major extrahepatic bile ducts with OLYMPUS infrared imaging endoscopic imaging system ( 1.2 ) • For viewing intra-operative blood flow in the cerebral area with OLYMPUS infrared compatible video microscopic imaging system ( 1.3 ) 1.1 Visual assessment of blood vessels, blood flow and related tissue perfusion For visual assessment of blood vessels, blood flow and related tissue perfusion with OL…

Excerpt only. Read the full label for complete information.

Full label on DailyMed (opens in a new tab)

About NDC 73624-424

What is NDC 73624-424?
73624-424 is the product NDC for Indocyanine Green kit, listed with the FDA by Olympus America, Inc.. It has 1 package NDC, shown above in 10- and 11-digit form.
What drug is associated with this NDC?
Indocyanine Green (Indocyanine Green and Water).
Who is the labeler?
Olympus America, Inc., NDC labeler code 73624. The labeler is the company responsible for the label; it may be the manufacturer, a repackager or a distributor.
What other NDCs exist for Indocyanine Green?
3 other product NDCs are listed under this name. See all Indocyanine Green NDCs.
Is there a related HCPCS / J-code?
Not in Med-Code's curated HCPCS directory. See Billing references above.

Other finished products listed under the same name: strengths, forms and labelers.

Other Indocyanine Green NDCs
ProductStrengthForm · routeLabelerProduct NDCPackage NDCs (11-digit)
Indocyanine green—KitZydus Pharmaceuticals USA Inc.70710-201870710-2018-03
Indocyanine Green—KitZydus Lifesciences Limited70771-196170771-1961-03
Indocyanine Greenindocyanine green and water—KitRenew Pharmaceuticals Limited70100-42470100-0424-02

Other NDCs under ANDA 040811

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

FDA NDC Directory listings under ANDA 040811
ProductStrengthForm · routeLabelerProduct NDC
Indocyanine Greenindocyanine green and water—KitRenew Pharmaceuticals Limited70100-424

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