Sterile Water Injection
NDC Package 63323-185-20

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

Package Information

Sterile Water (water) injection is glucagon for Injection is contraindicated in patients with: Pheochromocytoma [see Warnings and Precautions (5.1)]Insulinoma [see Warnings and Precautions (5.2)] because of the risk of hypoglycemia Known hypersensitivity to glucagon or any of the excipients in Glucagon for Injection. This formulation utilizes a injection delivery system. Marketed by Fresenius Kabi Usa, Llc, this product is identified by NDC 63323-185 and is authorized under FDA application ANDA088400.

Identification & Billing

NDC Package Code
63323-185-20
Package Description
25 VIAL in 1 TRAY / 20 mL in 1 VIAL (63323-185-08)
Product Code
63323-185
11-Digit Billing Format
63323018520
Billing Unit
ML - Billing unit of "milliliter" is used when a product is measured by its liquid volume.
RxNorm Crosswalk
RxCUI: 310497 - glucagon (rDNA) 1 MG Injection

Clinical Specifications

Proprietary Name
Sterile Water
Non-Proprietary Name
Water
Substance Name
Water
Dosage Form
Injection - A sterile preparation intended for parenteral use; five distinct classes of injections exist as defined by the USP.
Administration Route
  • Intramuscular - Administration within a muscle.
  • Intravenous - Administration within or into a vein or veins.
  • Subcutaneous - Administration beneath the skin; hypodermic. Synonymous with the term SUBDERMAL.
Active Ingredient(s)
WATER 1 mL/mL
Usage Information
Glucagon for Injection is contraindicated in patients with: Pheochromocytoma [see Warnings and Precautions (5.1)]Insulinoma [see Warnings and Precautions (5.2)] because of the risk of hypoglycemia Known hypersensitivity to glucagon or any of the excipients in Glucagon for Injection. Allergic reactions have been reported with glucagon and include anaphylactic shock with breathing difficulties and hypotension [see Warnings and Precautions (5.3)]Glucagonoma [see Warnings and Precautions (5.8)] because of risk of hypoglycemia when used as a diagnostic aid

Regulatory & Marketing

Labeler Name
Fresenius Kabi Usa, Llc
Product Type
Human Prescription Drug
FDA Application #
ANDA088400
Marketing Category
ANDA - A product marketed under an approved Abbreviated New Drug Application.
Start Marketing Date
09-05-2000
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.

A4216
Source: PDAC
STERILE WATER, SALINE AND/OR DEXTROSE, DILUENT/FLUSH, 10 ML
HCPCS Dosage 10 ML
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.

Other Available Packages

The following commercial packages are registered under the same Product NDC (63323-185). Click a package code to view its specific billing and regulatory data.

63323-185-05
25 VIAL, SINGLE-DOSE in 1 TRAY / 5 mL in 1 VIAL, SINGLE-DOSE (63323-185-04)
63323-185-10
25 VIAL in 1 TRAY / 10 mL in 1 VIAL (63323-185-07)
63323-185-50
25 VIAL in 1 TRAY / 50 mL in 1 VIAL (63323-185-09)

* 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 63323-185-20 identifies a specific commercial package of 25 vial in 1 tray / 20 ml in 1 vial (63323-185-08) of Sterile Water, a human prescription drug labeled by Fresenius Kabi Usa, Llc. This injection is formulated for intramuscular; intravenous; subcutaneous use and contains water 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 Fresenius Kabi Usa, Llc on September 05, 2000. The current certification is valid through December 31, 2026.

How is this Fresenius Kabi Usa, Llc product billed for insurance claims?

For medical billing and reimbursement, this package follows the 11-digit CMS format: 63323018520. 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 (5-3-2)
63323-185-20
11-Digit CMS (5-4-2)
63323-0185-20

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