NDC codes

FDA NDC Directory
Product NDC (as listed)69945-139Labeler and product segments. Claims need a package NDC.
Product NDC at billing width69945-0139Add 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
69945-139-2069945013920699450139205 VIAL, MULTI-DOSE in 1 CELLO PACK (69945-139-20) / 15 mL in 1 VIAL, MULTI-DOSE (69945-139-10)Marketed from Mar 20, 2020
69945-139-40699450139406994501394030 VIAL, MULTI-DOSE in 1 CARTON (69945-139-40) / 15 mL in 1 VIAL, MULTI-DOSE (69945-139-10)Marketed from Mar 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)
Pulmotech MAA
Generic name (nonproprietary)
kit for the preparation of technetium tc 99m albumin aggregated
Active ingredients
Albumin aggregated — 2 mg/15mL
Dosage form
Injection, Powder, Lyophilized, For suspension
Route
Intraperitoneal, Intravenous
Labeler
Curium US LLCNDC labeler code 69945
Product type
Prescription drug
Marketing category
BLA — Biologics License ApplicationApplication BLA 210089
Marketing start
Listing expires
Identifiers
Product ID 69945-139_702e29eb-f585-45b4-93ff-4d83e2788513SPL ID 702e29eb-f585-45b4-93ff-4d83e2788513SPL set ID a8b7adf0-2c6b-4acd-96d3-a099306951a0UNII 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.

How CPT relates to drug billing

NDC on a medical claim

N469945013920 followed by a unit qualifier and the quantity

Package 69945-0139-20. 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)

PULMOTECH MAA, after radiolabeling with technetium-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 adults. PULMOTECH MAA, after radiolabeling with technetium-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.

Full label on DailyMed (opens in a new tab)

About NDC 69945-139

What is NDC 69945-139?
69945-139 is the product NDC for Pulmotech MAA, Albumin aggregated 2 mg/15mL injection, powder, lyophilized, for suspension, listed with the FDA by Curium US LLC. It has 2 package NDCs, shown above in 10- and 11-digit form.
What drug is associated with this NDC?
Pulmotech MAA (Kit for the preparation of technetium Tc 99m albumin aggregated).
What is the active ingredient?
Albumin aggregated.
Who is the labeler?
Curium US LLC, NDC labeler code 69945. The labeler is the company responsible for the label; it may be the manufacturer, a repackager or a distributor.
What other NDCs exist for Pulmotech MAA?
None: this is the only finished product listed under this name.
Is there a related HCPCS / J-code?
Not in Med-Code's curated HCPCS directory. See Billing references above.

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