Pulmotech Maa Injection, Powder, Lyophilized, For Suspension
NDC Package 69945-139-40

View Billable Units, 11-Digit Conversion Format, and RxNorm mappings
Table of Contents
    1. Package Information
    2. Other Packages
    3. Frequently Asked Questions

Package Information

Pulmotech Maa (kit for the preparation of technetium tc 99m albumin aggregated) injection is technetium Tc 99m Albumin Aggregated Injection is a radioactive diagnostic agent indicated for:Lung scintigraphy as an adjunct in the evaluation of pulmonary perfusion in adults and pediatric patients.Scintigraphy of peritoneovenous shunt as an aid in the evaluation of its patency in adults. This formulation utilizes a injection, powder, lyophilized, for suspension delivery system. Marketed by Curium Us Llc, this product is identified by NDC 69945-139 and is authorized under FDA application BLA210089.

Identification & Billing

NDC Package Code
69945-139-40
Package Description
30 VIAL, MULTI-DOSE in 1 CARTON / 15 mL in 1 VIAL, MULTI-DOSE (69945-139-10)
Product Code
69945-139
11-Digit Billing Format
69945013940

Clinical Specifications

Proprietary Name
Pulmotech Maa
Non-Proprietary Name
Kit For The Preparation Of Technetium Tc 99m Albumin Aggregated
Substance Name
Albumin Aggregated
Dosage Form
Injection, Powder, Lyophilized, For Suspension - A liquid preparation, intended for parenteral use that contains solids suspended in a suitable fluid medium and conforms in all respects to the requirements for Sterile Suspensions; the medicinal agents intended for the suspension are prepared by lyophilization ("freeze drying"), a process which involves the removal of water from products in the frozen state at extremely low pressures.
Administration Route
  • Intraperitoneal - Administration within the peritoneal cavity.
  • Intravenous - Administration within or into a vein or veins.
Active Ingredient(s)
ALBUMIN AGGREGATED 2 mg/15mL
Usage Information
Technetium Tc 99m Albumin Aggregated Injection is a radioactive diagnostic agent indicated for:Lung scintigraphy as an adjunct in the evaluation of pulmonary perfusion in adults and pediatric patients.Scintigraphy of peritoneovenous shunt as an aid in the evaluation of its patency in adults.

Regulatory & Marketing

Labeler Name
Curium Us Llc
Product Type
Human Prescription Drug
FDA Application #
BLA210089
Marketing Category
BLA - A product marketed under an approved Biologic License Application.
Start Marketing Date
03-20-2020
Listing Expiration
12-31-2026
Exclude Flag
N
Sample Package
No

Hierarchy Structure

Code Lineage

The NDC Directory contains ONLY information on final marketed drugs submitted to FDA electronically by labelers. A labeler might be a manufacturer, re-packager or re-labeler. The product information included in the NDC directory does not indicate that FDA has verified the information provided by the product labeler. Assigned NDC numbers are not in any way an indication of FDA approval of the product.

* Please review the full disclaimer at the bottom of this page.

Other Available Packages

The following commercial packages are registered under the same Product NDC (69945-139). Click a package code to view its specific billing and regulatory data.

69945-139-20
5 VIAL, MULTI-DOSE in 1 CELLO PACK / 15 mL in 1 VIAL, MULTI-DOSE (69945-139-10)

* Please review the full disclaimer at the bottom of this page.

Frequently Asked Questions

What is the distribution configuration for this product package?

The code 69945-139-40 identifies a specific commercial package of 30 vial, multi-dose in 1 carton / 15 ml in 1 vial, multi-dose (69945-139-10) of Pulmotech Maa, a human prescription drug labeled by Curium Us Llc. This injection, powder, lyophilized, for suspension is formulated for intraperitoneal; intravenous use and contains albumin aggregated as the active substance.

Is this product currently listed with the FDA?

Yes, this product is active and verified within the NDC Directory. It was introduced to the market by Curium Us Llc on March 20, 2020. The current certification is valid through December 31, 2026.

How is this Curium Us Llc product billed for insurance claims?

For medical billing and reimbursement, this package follows the 11-digit CMS format: 69945013940. The table below illustrates the segment conversion from the 10-digit labeler code to the 11-digit provider format.

11-Digit Code Conversion

Billing payers usually require a 5-4-2 segment configuration. Below is the conversion from the 10-digit package format to the 11-digit billing format:

10-Digit Format (5-3-2)
69945-139-40
11-Digit CMS (5-4-2)
69945-0139-40

Note: The zero is added to the Product segment to maintain the 5-4-2 structure.