NDC codes

FDA NDC Directory
Product NDC (as listed)67939-010Labeler and product segments. Claims need a package NDC.
Product NDC at billing width67939-0010Add 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
67939-010-50679390010506793900105050 mL in 1 VIAL, MULTI-DOSE (67939-010-50)Marketed from May 20, 2020

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)
Fludeoxyglucose F 18
Generic name (nonproprietary)
fludeoxyglucose f 18
Active ingredients
Fludeoxyglucose f-18 — 300 mCi/mL
Dosage form
Injection
Route
Intravenous
Product type
Prescription drug
Marketing category
ANDA — Abbreviated New Drug Application (generic)Application ANDA 204498
Marketing start
Listing expires
Other FDA classes
Radiopharmaceutical Activity (Mechanism)
Identifiers
Product ID 67939-010_d93db56f-430e-5490-e053-2995a90ace22SPL ID d93db56f-430e-5490-e053-2995a90ace22SPL set ID 4439286d-2b7b-4403-9e4a-3b0aad10ad5bUNII 0Z5B2CJX4D
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

N467939001050 followed by a unit qualifier and the quantity

Package 67939-0010-50. 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)

Fludeoxyglucose F-18 Injection, USP is indicated for positron emission tomography (PET) imaging in the following settings: Fludeoxyglucose F18 Injection, USP is indicated for positron emission tomography (PET) imaging in the following settings: • Oncology: For assessment of abnormal glucose metabolism to assist in the evaluation of malignancy in patients with known or suspected abnormalities found by other testing modalities, or in patients with an existing diagnosis of cancer. • Cardiology: For the identification of left ventricular myocardium with residual glucose metabolism and reversible loss of systolic function in patients with coronary artery disease and left ventricular dysfunction, …

Excerpt only. Read the full label for complete information.

Full label on DailyMed (opens in a new tab)

About NDC 67939-010

What is NDC 67939-010?
67939-010 is the product NDC for Fludeoxyglucose F 18, Fludeoxyglucose f-18 300 mCi/mL injection, listed with the FDA by The University of Utah DBA Cyclotron Radiochemistry Lab / Huntsman Cancer Institute. It has 1 package NDC, shown above in 10- and 11-digit form.
What drug is associated with this NDC?
Fludeoxyglucose F 18.
What is the active ingredient?
Fludeoxyglucose f-18.
Who is the labeler?
The University of Utah DBA Cyclotron Radiochemistry Lab / Huntsman Cancer Institute, NDC labeler code 67939. The labeler is the company responsible for the label; it may be the manufacturer, a repackager or a distributor.
What other NDCs exist for Fludeoxyglucose F 18?
16 other product NDCs are listed under this name. See all Fludeoxyglucose F 18 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 Fludeoxyglucose F 18 NDCs
ProductStrengthForm · routeLabelerProduct NDCPackage NDCs (11-digit)
Fludeoxyglucose F 18fludeoxyglucose f-18Fludeoxyglucose f-18 400 mCi/mLInjectionIntravenousBAMF Health Inc.81759-00181759-0001-30
Fludeoxyglucose F-18Fludeoxyglucose f-18 300 mCi/mLInjectionIntravenousBarbara Ann Karmanos Cancer Hospital78714-00178714-0001-30
Fludeoxyglucose F 18Fludeoxyglucose f-18 20 mCi/mLInjectionIntravenousSOFIE Co. dba SOFIE73410-00373410-0003-01
Fludeoxyglucose F-18Fludeoxyglucose f-18 500 mCi/mLInjectionIntravenousCardinal Health 414, LLC65857-15065857-0150-30
Fludeoxyglucose F 18fludeoxyglucose f-18Fludeoxyglucose f-18 300 mCi/mLInjection, SolutionIntravenousBiomedical Research Foundation of Northwest Louisiana24562-00124562-0001-30
Fludeoxyglucose F-18Fludeoxyglucose f-18 300 mCi/mLInjectionIntravenousBRIGHAM AND WOMEN`S HOSPITAL, INC., THE24450-64724450-0647-30
Fludeoxyglucose F-18Fludeoxyglucose f-18 200 mCi/mLInjection, SolutionIntravenousTrustees of the University of Pennsylvania40098-10140098-0101-19
Fludeoxyglucose F 18fludeoxyglucose f-18Fludeoxyglucose f-18 240 mCi/mLInjectionIntravenousMayo Clinic52670-55152670-0551-30
Fludeoxyglucose F 18fludeoxyglucose f-18Fludeoxyglucose f-18 300 mCi/mLInjectionIntravenousUIHC-P E T IMAGING CENTER24417-00124417-0001-30
Fludeoxyglucose F 18fludeoxyglucose f-18Fludeoxyglucose f-18 40 mCi/mLInjectionIntravenousKettering Medical Center29998-00129998-0001-30

All 17 Fludeoxyglucose F 18 NDCs

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