Myoview (tetrofosmin) NDC 17156-024

NDC codes

FDA NDC Directory

Product NDC (as listed)17156-024Labeler and product segments. Claims need a package NDC.

Product NDC at billing width17156-0024Add 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
17156-024-05	17156002405	5 VIAL in 1 KIT (17156-024-05) / 1 INJECTION, POWDER, LYOPHILIZED, FOR SOLUTION in 1 VIALMarketed from Mar 1, 2022

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): Myoview
Generic name (nonproprietary): tetrofosmin
Active ingredients: Tetrofosmin — .23 mg/1
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 020372
Marketing start: Feb 9, 1996
Listing expires: Dec 31, 2026
Identifiers: Product ID 17156-024_cfb49f93-c931-4429-8a04-d3c6d1e913a0SPL ID cfb49f93-c931-4429-8a04-d3c6d1e913a0SPL set ID 4a8e5ed7-57f4-4d48-93cd-5f307207a3a0UNII 3J0KPB596Q

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

N417156002405 followed by a unit qualifier and the quantity

Package 17156-0024-05. 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

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