Visipaque Injection, Solution
NDC Package 0407-2222-16

View Billable Units, 11-Digit Conversion Format, and RxNorm mappings

Package Information

Visipaque (iodixanol) injection is vISIPAQUE is indicated in for:. This formulation utilizes a injection, solution delivery system. Marketed by Ge Healthcare Inc., this product is identified by NDC 0407-2222 and is authorized under FDA application NDA020351.

Identification & Billing

NDC Package Code
0407-2222-16
Package Description
10 BOTTLE, PLASTIC in 1 BOX / 50 mL in 1 BOTTLE, PLASTIC
Product Code
11-Digit Billing Format
00407222216
Billing Unit
ML - Billing unit of "milliliter" is used when a product is measured by its liquid volume.

Clinical Specifications

Proprietary Name
Visipaque
Non-Proprietary Name
Iodixanol
Substance Name
Iodixanol
Dosage Form
Injection, Solution - A liquid preparation containing one or more drug substances dissolved in a suitable solvent or mixture of mutually miscible solvents that is suitable for injection.
Administration Route
Intravascular - Administration within a vessel or vessels.
Active Ingredient(s)
Usage Information
VISIPAQUE is indicated in for:

Regulatory & Marketing

Labeler Name
Ge Healthcare Inc.
Product Type
Human Prescription Drug
FDA Application #
NDA020351
Marketing Category
NDA - A product marketed under an approved New Drug Application.
Start Marketing Date
12-13-2002
Listing Expiration
12-31-2026
Exclude Flag
N
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.

Billing & HCPCS Mapping

To facilitate insurance claims and reimbursement, this drug package is mapped to specific HCPCS administrative codes. This crosswalk aligns clinical data with the billing standards used in ASP (Average Sales Price), AWP, and OPPS payment systems. Use the cards below to identify the correct billable units for provider claims.

Source: ASP
Locm 200-299mg/ml iodine,1ml
HCPCS Dosage 1 ML
Units / Pkg 500

Note for Medical Coders: These mappings are synthesized from various CMS datasets including OPPS, PrEP, and DAC (Data Analysis and Coding) contractors. Always confirm unit conversions against the current quarter's pricing files before final submission.

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

Other Available Packages

The following commercial packages are registered under the same Product NDC (0407-2222). Click a package code to view its specific billing and regulatory data.

10 VIAL in 1 BOX / 50 mL in 1 VIAL
10 VIAL in 1 BOX / 50 mL in 1 VIAL
10 BOTTLE, GLASS in 1 BOX / 100 mL in 1 BOTTLE, GLASS
10 BOTTLE, GLASS in 1 BOX / 100 mL in 1 BOTTLE, GLASS
10 BOTTLE, GLASS in 1 BOX / 150 mL in 1 BOTTLE, GLASS
10 BOTTLE, GLASS in 1 BOX / 150 mL in 1 BOTTLE, GLASS
10 SYRINGE in 1 BOX / 50 mL in 1 SYRINGE
10 BOTTLE, GLASS in 1 BOX / 50 mL in 1 BOTTLE, GLASS
10 BOTTLE, GLASS in 1 BOX / 50 mL in 1 BOTTLE, GLASS
10 BOTTLE, PLASTIC in 1 BOX / 100 mL in 1 BOTTLE, PLASTIC
10 BOTTLE, PLASTIC in 1 BOX / 100 mL in 1 BOTTLE, PLASTIC
10 BOTTLE, PLASTIC in 1 BOX / 150 mL in 1 BOTTLE, PLASTIC
10 BOTTLE, PLASTIC in 1 BOX / 150 mL in 1 BOTTLE, PLASTIC
10 BOTTLE, PLASTIC in 1 BOX / 200 mL in 1 BOTTLE, PLASTIC
10 BOTTLE, PLASTIC in 1 BOX / 200 mL in 1 BOTTLE, PLASTIC
10 BOTTLE, PLASTIC in 1 BOX / 500 mL in 1 BOTTLE, PLASTIC
10 BOTTLE, PLASTIC in 1 BOX / 500 mL in 1 BOTTLE, PLASTIC
10 CARTRIDGE in 1 BOX / 150 mL in 1 CARTRIDGE
10 CARTRIDGE in 1 BOX / 125 mL in 1 CARTRIDGE
10 BOTTLE, GLASS in 1 BOX / 100 mL in 1 BOTTLE, GLASS
10 BOTTLE, GLASS in 1 BOX / 100 mL in 1 BOTTLE, GLASS
10 BOTTLE, PLASTIC in 1 BOX / 50 mL in 1 BOTTLE, PLASTIC
10 BOTTLE, PLASTIC in 1 BOX / 50 mL in 1 BOTTLE, PLASTIC
10 BOTTLE, PLASTIC in 1 BOX / 100 mL in 1 BOTTLE, PLASTIC
10 BOTTLE, PLASTIC in 1 BOX / 100 mL in 1 BOTTLE, PLASTIC
10 BOTTLE, PLASTIC in 1 BOX / 150 mL in 1 BOTTLE, PLASTIC
10 BOTTLE, PLASTIC in 1 BOX / 150 mL in 1 BOTTLE, PLASTIC
10 BOTTLE, PLASTIC in 1 BOX / 200 mL in 1 BOTTLE, PLASTIC
10 BOTTLE, PLASTIC in 1 BOX / 200 mL in 1 BOTTLE, PLASTIC

* 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 0407-2222-16 identifies a specific commercial package of 10 bottle, plastic in 1 box / 50 ml in 1 bottle, plastic of Visipaque, a human prescription drug labeled by Ge Healthcare Inc.. This injection, solution is formulated for intravascular use and contains iodixanol as the active substance.

Is this product currently listed with the FDA?

Yes, this product is active and verified within the NDC Directory. It was introduced to the market by Ge Healthcare Inc. on December 13, 2002. The current certification is valid through December 31, 2026.

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

For medical billing and reimbursement, this package follows the 11-digit CMS format: 00407222216. Quantities are measured in per "ml or milliliter", products billed per milliliter are usually products measured by liquid volume.. 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)
0407-2222-16
11-Digit CMS (5-4-2)
00407-2222-16

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