NDC codes

FDA NDC Directory
Product NDC (as listed)17156-251Labeler and product segments. Claims need a package NDC.
Product NDC at billing width17156-0251Add 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
17156-251-08171560251081.5 mL in 1 VIAL, GLASS (17156-251-08)Marketed from Feb 18, 1982

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 DTPA In 111
Generic name (nonproprietary)
indium in-111 pentetate disodium
Active ingredients
Indium in-111 pentetate disodium — 1 mCi/mL
Dosage form
Solution
Route
Intrathecal
Labeler
Medi-Physics, Inc. dba GE HealthcareNDC labeler code 17156
Product type
Prescription drug
Marketing category
NDA — New Drug ApplicationApplication NDA 017707
Marketing start
Listing expires
Identifiers
Product ID 17156-251_3dfabc30-f669-4287-9948-038c3a502d1fSPL ID 3dfabc30-f669-4287-9948-038c3a502d1fSPL set ID 4fea5871-b515-4f69-a297-11507ddd7817UNII 7UIT3ZGC8E

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

N417156025108 followed by a unit qualifier and the quantity

Package 17156-0251-08. 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 Pentetate Indium Disodium In 111 is recommended for use in radionuclide cisternography.

Excerpt only. Read the full label for complete information.

Full label on DailyMed (opens in a new tab)

About NDC 17156-251

What is NDC 17156-251?
17156-251 is the product NDC for Indium DTPA In 111 (indium in-111 pentetate disodium), Indium in-111 pentetate disodium 1 mCi/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 DTPA In 111 (Indium In-111 Pentetate Disodium).
What is the active ingredient?
Indium in-111 pentetate disodium.
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 DTPA In 111?
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.

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