NDC codes

FDA NDC Directory
Product NDC (as listed)52670-552Labeler and product segments. Claims need a package NDC.
Product NDC at billing width52670-0552Add 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
52670-552-30526700552305267005523030 mL in 1 VIAL, SINGLE-DOSE (52670-552-30)Marketed from Feb 25, 2013

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 — 37.5 mCi/mL
Dosage form
Injection, Solution
Route
Intravenous
Labeler
Mayo ClinicNDC labeler code 52670
Product type
Prescription drug
Marketing category
ANDA — Abbreviated New Drug Application (generic)Application ANDA 203321
Marketing start
Listing expires
Other FDA classes
Radiopharmaceutical Activity (Mechanism)
Identifiers
Product ID 52670-552_46dfe34a-40c9-373e-e063-6294a90af7cfSPL ID 46dfe34a-40c9-373e-e063-6294a90af7cfSPL set ID af70d0da-1c2d-44e4-b4cd-7cce6636c7b9UNII 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

N452670055230 followed by a unit qualifier and the quantity

Package 52670-0552-30. 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

Current FDA label (SPL), effective .

Indications (excerpt from the label)

Ammonia N 13 Injection USP is indicated for diagnostic Positron Emission Tomography (PET) imaging of the myocardium under rest or pharmacologic stress conditions to evaluate myocardial perfusion in patients with suspected or existing coronary artery disease. Ammonia N 13 Injection USP is a radioactive diagnostic agent for Positron Emission Tomography (PET) indicated for diagnostic PET imaging of the myocardium under rest or pharmacologic stress conditions to evaluate myocardial perfusion in patients with suspected or existing coronary artery disease ( 1 ).

Excerpt only. Read the full label for complete information.

Full label on DailyMed (opens in a new tab)

About NDC 52670-552

What is NDC 52670-552?
52670-552 is the product NDC for Ammonia N 13 (ammonia n-13), Ammonia n-13 37.5 mCi/mL injection, solution, listed with the FDA by Mayo Clinic. It has 1 package NDC, shown above in 10- and 11-digit form.
What drug is associated with this NDC?
Ammonia N 13 (Ammonia n-13).
What is the active ingredient?
Ammonia n-13.
Who is the labeler?
Mayo Clinic, NDC labeler code 52670. The labeler is the company responsible for the label; it may be the manufacturer, a repackager or a distributor.
What other NDCs exist for Ammonia N 13?
18 other product NDCs are listed under this name. See all Ammonia N 13 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 Ammonia N 13 NDCs
ProductStrengthForm · routeLabelerProduct NDCPackage NDCs (11-digit)
Ammonia N-13Ammonia n-13 260 mCi/mLInjectionIntravenousThe Methodist Hospital Research Institute69864-00269864-0002-30
Ammonia N 13Ammonia n-13 37.5 mCi/mLInjectionIntravenousUniversity of Wisconsin System72333-00172333-0001-10
Ammonia N 13ammonia n-13Ammonia n-13 37.5 mCi/mLInjection, SolutionIntravenousThe University of Texas Southwestern Medical Center70681-00170681-0001-30
Ammonia N 13Ammonia n-13 37.5 mCi/mLInjectionIntravenousSOFIE Co. dba SOFIE73410-00173410-0001-01
Ammonia N 13ammonia n-13Ammonia n-13 37.5 mCi/mLInjectionIntravenousIonetix Corporation71162-00171162-0001-05
Ammonia N 13ammonia n-13Ammonia n-13 37.5 mCi/mLInjection, SolutionIntravenousMassachusetts General Hospital76318-64376318-0643-30
Ammonia N 13ammonia n-13Ammonia n-13 37.5 mCi/mLInjection, SolutionIntravenousBiomedical Research Foundation of Northwest Louisiana24562-00424562-0004-30
Ammonia N-13Ammonia n-13 37.5 mCi/mLInjectionIntravenousBrigham and Women's Hospital, Inc., The24450-11324450-0113-10
Ammonia N 13ammonia n-13Ammonia n-13 37.5 mCi/mLInjectionIntravenousKreitchman PET Center62072-45662072-0456-56
Ammonia N-13Ammonia n-13 37.5 mCi/mLInjectionIntravenousCardinal Health 414, LLC65857-20065857-0200-10

All 19 Ammonia N 13 NDCs

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