Magnesium Sulfate In Water
NDC Package 0409-5239-60

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

Package Information

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

Magnesium Sulfate In Water is for Injection is indicated for the prevention and control of seizures in preeclampsia and eclampsia, respectively. Marketed by Hospira, Inc., this product is identified by NDC 0409-5239 and is authorized under FDA application NDA020309.

Identification & Billing

NDC Package Code
0409-5239-60
Package Description
60 POUCH in 1 CASE / 1 BAG in 1 POUCH / 50 mL in 1 BAG (0409-5239-01)
Product Code
0409-5239
11-Digit Billing Format
00409523960
Billing Unit
ML - Billing unit of "milliliter" is used when a product is measured by its liquid volume.
RxNorm Crosswalk

Clinical Specifications

Proprietary Name
Magnesium Sulfate In Water
Dosage Form
-
Usage Information
Magnesium Sulfate in Water for Injection is indicated for the prevention and control of seizures in preeclampsia and eclampsia, respectively. When used judiciously it effectively prevents and controls the convulsions of eclampsia without producing deleterious depression of the central nervous system of the mother or infant. However, other effective drugs are available for this purpose.

Regulatory & Marketing

Labeler Name
Hospira, Inc.
FDA Application #
NDA020309
Marketing Category
NDA - A product marketed under an approved New Drug Application.
Start Marketing Date
12-27-2022
End Marketing Date
05-31-2025
Listing Expiration
05-31-2025
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.

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.

J3475
Source: PDAC
INJECTION, MAGNESIUM SULFATE, PER 500 MG
HCPCS Dosage 500 MG
Units / Pkg

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.

Frequently Asked Questions

What is the distribution configuration for this product package?

The code 0409-5239-60 identifies a specific commercial package of 60 pouch in 1 case / 1 bag in 1 pouch / 50 ml in 1 bag (0409-5239-01) of Magnesium Sulfate In Water, labeled by Hospira, Inc.. 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 Hospira, Inc. on December 27, 2022. The current certification is valid through May 31, 2025.

How is this Hospira, Inc. product billed for insurance claims?

For medical billing and reimbursement, this package follows the 11-digit CMS format: 00409523960. 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)
0409-5239-60
11-Digit CMS (5-4-2)
00409-5239-60

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