Prescription drug · BLA
Draximage Maa NDC 65174-270
kit for the preparation of technetium tc 99m albumin aggregated · Albumin aggregated 2.5 mg/1 · Injection, Powder, For solution · Intravenous · Jubilant DraxImage Inc
NDC codes
FDA NDC Directory| Package NDC | 11-digit (billing) | Package | Copy |
|---|---|---|---|
| 65174-270-30 | 65174027030 | 30 INJECTION, POWDER, FOR SOLUTION in 1 KIT (65174-270-30)Marketed from Dec 30, 1987 |
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)
- Draximage Maa
- Generic name (nonproprietary)
- kit for the preparation of technetium tc 99m albumin aggregated
- Active ingredients
- Albumin aggregated — 2.5 mg/1
- Dosage form
- Injection, Powder, For solution
- Route
- Intravenous
- Labeler
- Jubilant DraxImage Inc
- Product type
- Prescription drug
- Marketing category
- BLA — Biologics License ApplicationApplication BLA 017881
- Marketing start
- Listing expires
- Identifiers
- Product ID 65174-270_889b7899-9b87-47c2-bb8b-dc896b305186SPL ID 889b7899-9b87-47c2-bb8b-dc896b305186SPL set ID bbefaa05-1dc0-3ae7-7264-ce1eddf0da2bUNII 799C8VF17R
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.
- NDC on a medical claim
N465174027030followed by a unit qualifier and the quantityPackage 65174-0270-30. 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)
DRAXIMAGE MAA, after radiolabeling with sodium pertechnetate Tc 99m, is indicated for: Lung scintigraphy as an adjunct in the evaluation of pulmonary perfusion in adults and pediatric patients. Peritoneovenous shunt scintigraphy as an aid in the evaluation of its patency in adult patients. DRAXIMAGE MAA, after radiolabeling with sodium pertechnetate Tc 99m, is a radioactive diagnostic agent indicated for: Lung scintigraphy as an adjunct in the evaluation of pulmonary perfusion in adults and pediatric patients. (1) Peritoneovenous shunt scintigraphy as an aid in the evaluation of its patency in adults. (1)
Excerpt only. Read the full label for complete information.