Ammonia N-13 NDC 69864-002

NDC codes

FDA NDC Directory

Product NDC (as listed)69864-002Labeler and product segments. Claims need a package NDC.

Product NDC at billing width69864-0002Add 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 NDC	11-digit (billing)	Package	Copy
69864-002-30	69864000230	6 mL in 1 VIAL, GLASS (69864-002-30)Marketed from Jul 9, 2021

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): Ammonia N-13
Generic name (nonproprietary): ammonia n-13
Active ingredients: Ammonia n-13 — 260 mCi/mL
Dosage form: Injection
Route: Intravenous
Labeler: The Methodist Hospital Research Institute
Product type: Prescription drug
Marketing category: ANDA — Abbreviated New Drug Application (generic)Application ANDA 215083
Marketing start: Jul 9, 2021
Listing expires: Dec 31, 2026
Other FDA classes: Radiopharmaceutical Activity (Mechanism)
Identifiers: Product ID 69864-002_0ce4c7b6-2913-fecf-e063-6394a90ab438SPL ID 0ce4c7b6-2913-fecf-e063-6394a90ab438SPL set ID c79222b1-7dd8-f1fe-e053-2a95a90a3639UNII 9OQO0E343Z
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

N469864000230 followed by a unit qualifier and the quantity

Package 69864-0002-30. 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

Label details couldn’t be retrieved right now. Open the label on DailyMed.