Ceretec (technetium tc-99m exametazime) NDC 17156-022

NDC codes

FDA NDC Directory

Product NDC (as listed)17156-022Labeler and product segments. Claims need a package NDC.

Product NDC at billing width17156-0022Add 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
17156-022-05	17156002205	5 VIAL in 1 TRAY (17156-022-05) / 5 mL in 1 VIALMarketed from Dec 30, 1988

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): Ceretec
Generic name (nonproprietary): technetium tc-99m exametazime
Active ingredients: Technetium tc-99m exametazime — .5 mg/5mL
Dosage form: Injection, Powder, Lyophilized, For solution
Route: Intravenous
Labeler: Medi-Physics Inc. dba GE Healthcare.
Product type: Prescription drug
Marketing category: NDA — New Drug ApplicationApplication NDA 019829
Marketing start: Dec 30, 1988
Listing expires: Dec 31, 2026
Other FDA classes: Radiopharmaceutical Activity (Mechanism)
Identifiers: Product ID 17156-022_87cca989-b750-4ca7-9b5a-6f00d0457c46SPL ID 87cca989-b750-4ca7-9b5a-6f00d0457c46SPL set ID 3c1eca7e-57a0-4876-8ed6-cd655ef5e296UNII 3B744AG22N
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

N417156002205 followed by a unit qualifier and the quantity

Package 17156-0022-05. 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 Jan 10, 2024.

Indications (excerpt from the label)

INDICATIONS AND USAGE Technetium Tc99m exametazime scintigraphy may be useful as an adjunct in the detection of altered regional cerebral perfusion in stroke. Tc99m exametazime is indicated for leukocyte labeled scintigraphy as an adjunct in the localization of intra-abdominal infection and inflammatory bowel disease.

Excerpt only. Read the full label for complete information.

Full label on DailyMed (opens in a new tab)

Other NDCs under NDA 019829

Products listed under the same FDA application: other strengths and forms, and repackagers who relabel the same product.

FDA NDC Directory listings under NDA 019829
Product	Strength	Form · route	Labeler	Product NDC
Ceretectechnetium tc-99m exametazime and cobaltous chloride	—	Kit	Medi-Physics, Inc. dba GE Healthcare	17156-025