Prescription drug · NDA
DaTscan (Ioflupane i-123) NDC 17156-210
Ioflupane i-123 2 mCi/mL · Injection, Solution · Intravenous · Medi-Physics Inc. dba GE Healthcare.
NDC codes
FDA NDC Directory| Package NDC | 11-digit (billing) | Package | Copy |
|---|---|---|---|
| 17156-210-01 | 17156021001 | 1 VIAL, GLASS in 1 CONTAINER (17156-210-01) / 2.5 mL in 1 VIAL, GLASSMarketed from Mar 1, 2011 |
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)
- DaTscan
- Generic name (nonproprietary)
- ioflupane i-123
- Active ingredients
- Ioflupane i-123 — 2 mCi/mL
- Dosage form
- Injection, 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 022454
- Marketing start
- Listing expires
- Other FDA classes
- Radiopharmaceutical Activity (Mechanism)
- Identifiers
- Product ID 17156-210_900b7272-7f13-43ef-9320-bc63ccc1434bSPL ID 900b7272-7f13-43ef-9320-bc63ccc1434bSPL set ID ef7804d7-c691-495b-8aaf-5bc54fd5d9f6UNII 3MM99T8R5Q
- Pharmacologic class
- Radioactive 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.
- 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.
- NDC on a medical claim
N417156021001followed by a unit qualifier and the quantityPackage 17156-0210-01. 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)
DATSCAN is indicated as an adjunct to other diagnostic evaluations for striatal dopamine transporter visualization using single photon emission computed tomography (SPECT) brain imaging in adult patients with: suspected Parkinsonian syndromes (PS) or suspected dementia with Lewy bodies (DLB). DATSCAN is a radioactive diagnostic agent indicated as an adjunct to other diagnostic evaluations for striatal dopamine transporter visualization using single photon emission computed tomography (SPECT) brain imaging in adult patients with: suspected Parkinsonian syndromes (PS) or suspected dementia with Lewy bodies (DLB). ( 1 )
Excerpt only. Read the full label for complete information.
About NDC 17156-210
- What is NDC 17156-210?
- 17156-210 is the product NDC for DaTscan (ioflupane i-123), Ioflupane i-123 2 mCi/mL injection, 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?
- DaTscan (Ioflupane I-123).
- What is the active ingredient?
- Ioflupane i-123.
- 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 DaTscan?
- None: this is the only finished product listed under this name.
- Is there a related HCPCS / J-code?
- Not in Med-Code's curated HCPCS directory. See Billing references above.