Hypaque Sodium
NDC Package 0407-0769-01

View Billable Units, 11-Digit Conversion Format, and RxNorm mappings
Table of Contents
    1. Package Information
    2. Frequently Asked Questions

Package Information

This product is EXCLUDED from the official NDC directory because the listing data was discontinued by the firm.

Hypaque Sodium is a . Marketed by Ge Healthcare Inc., this product is identified by NDC 0407-0769 and is authorized under FDA application NDA011386.

Identification & Billing

NDC Package Code
0407-0769-01
Package Description
250 g in 1 CAN
Product Code
0407-0769
11-Digit Billing Format
00407076901
Billing Unit
GM - Billing unit of "gram" is used when a product is measured by its weight.
Units Per Package
250 GM

Clinical Specifications

Proprietary Name
Hypaque Sodium
Dosage Form
-

Regulatory & Marketing

Labeler Name
Ge Healthcare Inc.
FDA Application #
NDA011386
Marketing Category
NDA - A product marketed under an approved New Drug Application.
Start Marketing Date
07-01-1960
End Marketing Date
03-18-2009
Listing Expiration
03-18-2009
Exclude Flag
D
Sample Package
No

Hierarchy Structure

Code Lineage

The NDC Directory contains ONLY information on final marketed drugs submitted to FDA electronically by labelers. A labeler might be a manufacturer, re-packager or re-labeler. The product information included in the NDC directory does not indicate that FDA has verified the information provided by the product labeler. Assigned NDC numbers are not in any way an indication of FDA approval of the product.

* Please review the full disclaimer at the bottom of this page.

Frequently Asked Questions

What is the distribution configuration for this product package?

The code 0407-0769-01 identifies a specific commercial package of 250 g in 1 can of Hypaque Sodium, labeled by Ge Healthcare Inc.. This product is billed per "GM" gram and contains an estimated amount of 250 billable units per package. This is formulated for use and contains as the active substance.

Is this product currently listed with the FDA?

This product code is currently listed as inactive or excluded from the primary directory. It was introduced to the market by Ge Healthcare Inc. on July 01, 1960. The current certification is valid through March 18, 2009.

How is this Ge Healthcare Inc. product billed for insurance claims?

For medical billing and reimbursement, this package follows the 11-digit CMS format: 00407076901. Quantities are measured in per "gm or gram", products billed per gram are products measured by weight.. There are 250 total billable units per package. The table below illustrates the segment conversion from the 10-digit labeler code to the 11-digit provider format.

11-Digit Code Conversion

Billing payers usually require a 5-4-2 segment configuration. Below is the conversion from the 10-digit package format to the 11-digit billing format:

10-Digit Format (4-4-2)
0407-0769-01
11-Digit CMS (5-4-2)
00407-0769-01

Note: The zero is added to the Labeler segment to maintain the 5-4-2 structure.