NDC codes

FDA NDC Directory
Product NDC (as listed)11994-128Labeler and product segments. Claims need a package NDC.
Product NDC at billing width11994-0128Add the package segment from the table below.
Package NDCs as listed with the FDA, and the 11-digit 5-4-2 form used on claims. The highlighted digit is the added leading zero.
Package NDC11-digit (billing)PackageCopy
11994-128-21119940128211 VIAL in 1 CAN (11994-128-21) / 1 GAS in 1 VIALMarketed from Oct 10, 1974
11994-128-25119940128255 VIAL in 1 CAN (11994-128-25) / 1 GAS in 1 VIALMarketed from Oct 10, 1974

How the 11-digit form is made: The product segment has 3 digits, so one leading zero is added to it (5-3-2 → 5-4-2). Formatting the NDC does not by itself make it billable — the product, package and quantity must match what was dispensed or administered, and payer rules apply. Conversion rules

Product information

Brand name (proprietary)
Xenon
Generic name (nonproprietary)
xenon xe-133
Active ingredients
Xenon xe-133 — 20 mCi/1
Dosage form
Gas
Route
Respiratory (Inhalation)
Labeler
Lantheus Medical Imaging, Inc.NDC labeler code 11994
Product type
Prescription drug
Marketing category
NDA — New Drug ApplicationApplication NDA 017284
Marketing start
Listing expires
Other FDA classes
Radiopharmaceutical Activity (Mechanism)
Identifiers
Product ID 11994-128_ed8bea93-8d9f-4442-98ad-af0fd909cc6bSPL ID ed8bea93-8d9f-4442-98ad-af0fd909cc6bSPL set ID 35bdc182-2a41-41d2-8fe7-aa0c140d4425UNII X3P9A5HNYF
Pharmacologic class
Inhalation Diagnostic Agent

Billing references

What Med-Code can say about coding this product, and where each statement comes from. Nothing here is inferred from the name alone.

HCPCS codeNo match

No drug-specific HCPCS code in Med-Code's directory for this product. The directory is curated and not complete — check the current CMS HCPCS file before billing.

NDC on a medical claim

N411994012821 followed by a unit qualifier and the quantity

Package 11994-0128-21. Unit qualifiers: F2 (international unit), GR (gram), ME (milligram), ML (milliliter), UN (unit (each)). The qualifier and quantity depend on what was given. About the N4 qualifier

Product label

Current FDA label (SPL), effective .

Indications (excerpt from the label)

INDICATIONS AND USAGE: Inhalation of Xenon Xe 133 Gas has proved valuable for the evaluation of pulmonary function and for imaging the lungs. It may also be applied to assessment of cerebral flow.

Excerpt only. Read the full label for complete information.

Full label on DailyMed (opens in a new tab)

About NDC 11994-128

What is NDC 11994-128?
11994-128 is the product NDC for Xenon (xenon xe-133), Xenon xe-133 20 mCi/1 gas, listed with the FDA by Lantheus Medical Imaging, Inc.. It has 2 package NDCs, shown above in 10- and 11-digit form.
What drug is associated with this NDC?
Xenon (Xenon XE-133).
What is the active ingredient?
Xenon xe-133.
Who is the labeler?
Lantheus Medical Imaging, Inc., NDC labeler code 11994. The labeler is the company responsible for the label; it may be the manufacturer, a repackager or a distributor.
What other NDCs exist for Xenon?
3 other product NDCs are listed under this name. See all Xenon NDCs.
Is there a related HCPCS / J-code?
Not in Med-Code's curated HCPCS directory. See Billing references above.

Other finished products listed under the same name: strengths, forms and labelers.

Other Xenon NDCs
ProductStrengthForm · routeLabelerProduct NDCPackage NDCs (11-digit)
Xenonxenon xe-133Xenon xe-133 10 mCi/1GasRespiratory (Inhalation)Shine Spect USA, LLC87333-12787333-0127-1187333-0127-15
Xenonxenon xe-133Xenon xe-133 20 mCi/1GasRespiratory (Inhalation)Shine Spect USA, LLC87333-12887333-0128-2187333-0128-25
Xenonxenon xe-133Xenon xe-133 10 mCi/1GasRespiratory (Inhalation)Lantheus Medical Imaging, Inc.11994-12711994-0127-1111994-0127-15

Other NDCs under NDA 017284

Products listed under the same FDA application: other strengths and forms, and repackagers who relabel the same product.

FDA NDC Directory listings under NDA 017284
ProductStrengthForm · routeLabelerProduct NDC
Xenonxenon xe-133Xenon xe-133 20 mCi/1GasRespiratory (Inhalation)Shine Spect USA, LLC87333-128
Xenonxenon xe-133Xenon xe-133 10 mCi/1GasRespiratory (Inhalation)Lantheus Medical Imaging, Inc.11994-127
Xenonxenon xe-133Xenon xe-133 10 mCi/1GasRespiratory (Inhalation)Shine Spect USA, LLC87333-127

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