NDC codes

FDA NDC Directory
Product NDC (as listed)17575-020Labeler and product segments. Claims need a package NDC.
Product NDC at billing width17575-0020Add 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
17575-020-01175750020016088 L in 1 CYLINDER (17575-020-01)Marketed from Jan 1, 1966

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)
Carbon Dioxide Oxygen Mixture 5/95
Generic name (nonproprietary)
carbon dioxide oxygen mixture 5/95
Active ingredients
Oxygen — 950 mL/L
Dosage form
Gas
Route
Respiratory (Inhalation)
Labeler
AGL Inhalation Therapy Co.NDC labeler code 17575
Product type
Prescription drug
Marketing category
NDA — New Drug ApplicationApplication NDA 205767
Marketing start
Listing expires
Identifiers
Product ID 17575-020_41c37e26-4643-24b9-e063-6394a90aec5fSPL ID 41c37e26-4643-24b9-e063-6394a90aec5fSPL set ID a5a3db93-de47-4685-9c20-dbf0ff30047aUNII S88TT14065

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.

NDC on a medical claim

N417575002001 followed by a unit qualifier and the quantity

Package 17575-0020-01. 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 .

Full label on DailyMed (opens in a new tab)

About NDC 17575-020

What is NDC 17575-020?
17575-020 is the product NDC for Carbon Dioxide Oxygen Mixture 5/95, Oxygen 950 mL/L gas, listed with the FDA by AGL Inhalation Therapy Co.. It has 1 package NDC, shown above in 10- and 11-digit form.
What drug is associated with this NDC?
Carbon Dioxide Oxygen Mixture 5/95.
What is the active ingredient?
Oxygen.
Who is the labeler?
AGL Inhalation Therapy Co., NDC labeler code 17575. The labeler is the company responsible for the label; it may be the manufacturer, a repackager or a distributor.
What other NDCs exist for Carbon Dioxide Oxygen Mixture 5/95?
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.

Other NDCs under NDA 205767

Products listed under the same FDA application: other strengths and forms, and repackagers who relabel the same product.

FDA NDC Directory listings under NDA 205767
ProductStrengthForm · routeLabelerProduct NDC
AirOxygen 235 mL/LGasRespiratory (Inhalation)- INDUSTRIAL WELDING SUPPLY CO. OF HARVEY, INC.42241-003
OxygenOxygen 995 mL/LGasRespiratory (Inhalation)- INDUSTRIAL WELDING SUPPLY CO. OF HARVEY, INC.42241-001
OxygenOxygen 99 L/100LGasRespiratory (Inhalation)MID-SOUTH WELDING SUPPLY, INC.51400-001
AirOxygen 200 mL/LGasRespiratory (Inhalation)Maine Oxy-Acetylene Supply Company51887-502
OxygenOxygen 990 mL/LGasRespiratory (Inhalation)Maine Oxy-Acetylene Supply Company51887-720
OxygenOxygen 99 L/100LGasRespiratory (Inhalation)Kent Welding Supply51960-001
OxygenOxygen 995 mL/LGasRespiratory (Inhalation)CRYOGENIC SOLUTIONS LLC81734-001
OxygenOxygen 99 L/100LGasRespiratory (Inhalation)Strate Welding Supply Co., Inc.49221-0030
OxygenOxygen 990 mL/LGasRespiratory (Inhalation)Young Welding Supply, Inc58311-1000
OxygenOxygen 992 mL/LGasRespiratory (Inhalation)Welders Supply Company11999-001
OxygenOxygen 99 L/100LGasRespiratory (Inhalation)Strate Welding Supply Co., Inc.49221-3000
OxygenOxygen 99 L/100LGasRespiratory (Inhalation)Lampton Welding Supply Company, Inc58356-001
OxygenOxygen 99 L/100LGasRespiratory (Inhalation)Life Supply Corp63553-001
OxygenOxygen 99 L/100LGasRespiratory (Inhalation)ACUTE CARE GAS LLC69240-001
OxygenOxygen 990 mL/LGasRespiratory (Inhalation)New Bedford Welding Supply, Inc.23650-001
OxygenOxygen 99.5 L/100LGasRespiratory (Inhalation)Indiana Oxygen Company Inc48546-0002
OxygenOxygen 99.6 L/100LGasRespiratory (Inhalation)Indiana Oxygen Company Inc48546-0004
OxygenOxygen 99 L/100LGasRespiratory (Inhalation)Badger Welding Supplies, Inc.12121-001
OxygenOxygen 99 L/100LGasNasalAirweld, Inc.48599-345
OxygenOxygen 99 L/100LGasRespiratory (Inhalation)Indiana Oxygen Company Inc48546-0006

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