Bedside-care Perineal Wash
NDC Package 11701-059-04

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

Package Information

This product is EXCLUDED from the official NDC directory because the listing data was inactivated by the FDA.

Bedside-care Perineal Wash is uses Protects against the risk of bacterial contamination in minor cuts, scrapes and burns. Marketed by Coloplast Manufacturing Us, Llc, this product is identified by NDC 11701-059 and is authorized under FDA application part333E.

Identification & Billing

NDC Package Code
11701-059-04
Package Description
.118 L in 1 BOTTLE, SPRAY
Product Code
11701-059
11-Digit Billing Format
11701005904
Billing Unit
ML - Billing unit of "milliliter" is used when a product is measured by its liquid volume.
Units Per Package
118.000 ML
RxNorm Crosswalk

Clinical Specifications

Proprietary Name
Bedside-care Perineal Wash
Dosage Form
-
Usage Information
Uses Protects against the risk of bacterial contamination in minor cuts, scrapes and burns.

Regulatory & Marketing

Labeler Name
Coloplast Manufacturing Us, Llc
FDA Application #
part333E
Marketing Category
OTC MONOGRAPH NOT FINAL - A product marketed pursuant to an Over-the-Counter (OTC) Drug Monograph that is not final.
Start Marketing Date
06-15-2009
Listing Expiration
12-31-2017
Exclude Flag
I
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.

Other Available Packages

The following commercial packages are registered under the same Product NDC (11701-059). Click a package code to view its specific billing and regulatory data.

11701-059-05
.237 L in 1 BOTTLE, SPRAY
11701-059-09
3.8 L in 1 BOTTLE

* 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 11701-059-04 identifies a specific commercial package of .118 l in 1 bottle, spray of Bedside-care Perineal Wash, labeled by Coloplast Manufacturing Us, Llc. This product is billed per "ML" milliliter and contains an estimated amount of 118.000 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 Coloplast Manufacturing Us, Llc on June 15, 2009. The current certification is valid through December 31, 2017.

How is this Coloplast Manufacturing Us, Llc product billed for insurance claims?

For medical billing and reimbursement, this package follows the 11-digit CMS format: 11701005904. Quantities are measured in per "ml or milliliter", products billed per milliliter are usually products measured by liquid volume.. There are 118.000 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 (5-3-2)
11701-059-04
11-Digit CMS (5-4-2)
11701-0059-04

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