NDC codes

FDA NDC Directory
Product NDC (as listed)69945-092Labeler and product segments. Claims need a package NDC.
Product NDC at billing width69945-0092Add 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
69945-092-20699450092205 VIAL in 1 CELLO PACK (69945-092-20) / 10 mL in 1 VIALMarketed from Oct 31, 2011
69945-092-406994500924030 VIAL in 1 CARTON (69945-092-40) / 10 mL in 1 VIALMarketed from Oct 31, 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)
Technetium Tc 99m Sestamibi
Generic name (nonproprietary)
technetium tc 99m sestamibi
Active ingredients
Tetrakis(2-methoxyisobutylisocyanide)copper(I) tetrafluoroborate — 1 mg/mL
Dosage form
Injection
Route
Intravenous
Product type
Prescription drug
Marketing category
ANDA — Abbreviated New Drug Application (generic)Application ANDA 078098
Marketing start
Listing expires
Identifiers
Product ID 69945-092_4b00526c-6250-49d7-ba34-459ef89c8f43SPL ID 4b00526c-6250-49d7-ba34-459ef89c8f43SPL set ID 4110d0f4-3bcf-4688-a39f-42a81064c796UNII N6OU7HJ70P

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

N469945009220 followed by a unit qualifier and the quantity

Package 69945-0092-20. 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)

1. INDICATIONS AND USAGE Myocardial Imaging: Kit for the Preparation of Technetium Tc99m Sestamibi Injection is a myocardial perfusion agent that is indicated for detecting coronary artery disease by localizing myocardial ischemia (reversible defects) and infarction (non-reversible defects), in evaluating myocardial function and developing information for use in patient management decisions. Technetium Tc99m Sestamibi evaluation of myocardial ischemia can be accomplished with rest and cardiovascular stress techniques (e.g., exercise or pharmacologic stress in accordance with the pharmacologic stress agent's labeling). It is usually not possible to determine the age of a myocardial infarction…

Excerpt only. Read the full label for complete information.

Full label on DailyMed (opens in a new tab)

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