NDC codes

FDA NDC Directory
Product NDC (as listed)45548-141Labeler and product segments. Claims need a package NDC.
Product NDC at billing width45548-0141Add 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
45548-141-0545548014105455480141055 VIAL in 1 KIT (45548-141-05) / 10 mL in 1 VIALMarketed from Jul 1, 2009
45548-141-10455480141104554801411010 VIAL in 1 KIT (45548-141-10) / 10 mL in 1 VIALMarketed from Jul 1, 2009
45548-141-30455480141304554801413030 VIAL in 1 KIT (45548-141-30) / 10 mL in 1 VIALMarketed from Jul 1, 2009

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
Technetium tc-99m sestamibi — 1 mg/mL
Dosage form
Injection, Powder, For solution
Route
Intravenous
Labeler
Jubilant Draximage (USA) Inc.NDC labeler code 45548
Product type
Prescription drug
Marketing category
ANDA — Abbreviated New Drug Application (generic)Application ANDA 078806
Marketing start
Listing expires
Other FDA classes
Radiopharmaceutical Activity (Mechanism)
Identifiers
Product ID 45548-141_b089044e-6c93-4941-94e7-55786e5b57b8SPL ID b089044e-6c93-4941-94e7-55786e5b57b8SPL set ID 07c893fc-cfba-1d98-0232-6448463afb87UNII 971Z4W1S09
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

N445548014105 followed by a unit qualifier and the quantity

Package 45548-0141-05. 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 .

Indications (excerpt from the label)

Myocardial Imaging: Kit for the preparation of Technetium Tc 99m 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 Tc 99m 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 agents labeling). It is usually not possible to determine the age of a myocardial infarction or to differentiate a r…

Excerpt only. Read the full label for complete information.

Full label on DailyMed (opens in a new tab)

About NDC 45548-141

What is NDC 45548-141?
45548-141 is the product NDC for Technetium Tc 99M Sestamibi, Technetium tc-99m sestamibi 1 mg/mL injection, powder, for solution, listed with the FDA by Jubilant Draximage (USA) Inc.. It has 3 package NDCs, shown above in 10- and 11-digit form.
What drug is associated with this NDC?
Technetium Tc 99M Sestamibi.
What is the active ingredient?
Technetium tc-99m sestamibi.
Who is the labeler?
Jubilant Draximage (USA) Inc., NDC labeler code 45548. The labeler is the company responsible for the label; it may be the manufacturer, a repackager or a distributor.
What other NDCs exist for Technetium Tc 99M Sestamibi?
1 other product NDC are listed under this name. See all Technetium Tc 99M Sestamibi NDCs.
Is there a related HCPCS / J-code?
Not in Med-Code's curated HCPCS directory. See Billing references above.

Other finished products listed under the same name: strengths, forms and labelers.

Other Technetium Tc 99M Sestamibi NDCs
ProductStrengthForm · routeLabelerProduct NDCPackage NDCs (11-digit)
Technetium Tc 99m SestamibiTetrakis(2-methoxyisobutylisocyanide)copper(I) tetrafluoroborate 1 mg/mLInjectionIntravenousCurium US LLC69945-09269945-0092-2069945-0092-40

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