NDC codes

FDA NDC Directory
Product NDC (as listed)17156-021Labeler and product segments. Claims need a package NDC.
Product NDC at billing width17156-0021Add 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
17156-021-01171560021011 VIAL in 1 BOX (17156-021-01) / 1 mL in 1 VIALMarketed from Dec 1, 1985

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)
Indium in 111 Oxyquinoline
Generic name (nonproprietary)
indium in-111 oxyquinoline
Active ingredients
Indium in-111 oxyquinoline — 1 ug/mL
Dosage form
Solution
Route
Intravenous
Labeler
Medi-Physics Inc. dba GE Healthcare.NDC labeler code 17156
Product type
Prescription drug
Marketing category
NDA — New Drug ApplicationApplication NDA 019044
Marketing start
Listing expires
Identifiers
Product ID 17156-021_bc294a45-4008-4476-b7a4-9475b18d43a2SPL ID bc294a45-4008-4476-b7a4-9475b18d43a2SPL set ID 4c52c904-8137-4b10-8a85-d9b96c2d8a00UNII LGX9OL562T

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.

Administration

Drug administration (CPT 96360–96549)

When a clinician administers the drug, the administration is reported separately. Codes in this range cover hydration, therapeutic injections and infusions, and chemotherapy or other complex drug administration. The right code depends on route, duration and drug type, and self-administered drugs are not billed this way.

How CPT relates to drug billing

NDC on a medical claim

N417156002101 followed by a unit qualifier and the quantity

Package 17156-0021-01. 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 Indium In 111 Oxyquinoline Solution is indicated for radiolabeling autologous leukocytes. Indium In 111 oxyquinoline labeled leukocytes may be used as an adjunct in the detection of inflammatory processes to which leukocytes migrate, such as those associated with abscesses or other infection, following reinjection and detection by appropriate imaging procedures. The degree of accuracy may vary with labeling techniques and with the size, location and nature of the inflammatory process. Indium In 111 oxyquinoline labeled leukocyte imaging is not the preferred technique for the initial evaluation of patients with a high clinical probability of an abscess in a known locatio…

Excerpt only. Read the full label for complete information.

Full label on DailyMed (opens in a new tab)

About NDC 17156-021

What is NDC 17156-021?
17156-021 is the product NDC for Indium in 111 Oxyquinoline (indium in-111 oxyquinoline), Indium in-111 oxyquinoline 1 ug/mL solution, listed with the FDA by Medi-Physics Inc. dba GE Healthcare.. It has 1 package NDC, shown above in 10- and 11-digit form.
What drug is associated with this NDC?
Indium in 111 Oxyquinoline (Indium In-111 Oxyquinoline).
What is the active ingredient?
Indium in-111 oxyquinoline.
Who is the labeler?
Medi-Physics Inc. dba GE Healthcare., NDC labeler code 17156. The labeler is the company responsible for the label; it may be the manufacturer, a repackager or a distributor.
What other NDCs exist for Indium in 111 Oxyquinoline?
1 other product NDC are listed under this name. See all Indium in 111 Oxyquinoline 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 Indium in 111 Oxyquinoline NDCs
ProductStrengthForm · routeLabelerProduct NDCPackage NDCs (11-digit)
Indium In 111 Oxyquinolineindium in-111 oxyquinolineIndium in-111 oxyquinoline 1 mCi/mLLiquidIntravenousBWXT Medical Ltd.72536-092072536-0920-01

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