NDC codes

FDA NDC Directory
Product NDC (as listed)65857-505Labeler and product segments. Claims need a package NDC.
Product NDC at billing width65857-0505Add 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
65857-505-106585705051010 INJECTION, POWDER, LYOPHILIZED, FOR SOLUTION in 1 CARTON (65857-505-10)Marketed from Dec 1, 2020

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)
Kit for the Preparation of Technetium Tc 99m Medronate
Generic name (nonproprietary)
technetium tc 99m medronate
Active ingredients
Technetium tc-99m medronate — 20 mg/1
Dosage form
Injection, Powder, Lyophilized, For solution
Route
Intravenous
Product type
Prescription drug
Marketing category
NDA — New Drug ApplicationApplication NDA 018107
Marketing start
Listing expires
Other FDA classes
Radiopharmaceutical Activity (Mechanism)
Identifiers
Product ID 65857-505_d54cd404-317c-4a70-a22d-1667550ab5bcSPL ID d54cd404-317c-4a70-a22d-1667550ab5bcSPL set ID 54608807-4df6-49ba-b065-59a19ef224c4UNII X89XV46R07
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.

How CPT relates to drug billing

NDC on a medical claim

N465857050510 followed by a unit qualifier and the quantity

Package 65857-0505-10. 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 Technetium Tc 99m medronate may be used as a bone imaging agent to delineate areas of altered osteogenesis.

Excerpt only. Read the full label for complete information.

Full label on DailyMed (opens in a new tab)

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