NDC codes

FDA NDC Directory
Product NDC (as listed)21220-158Labeler and product segments. Claims need a package NDC.
Product NDC at billing width21220-0158Add 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
21220-158-01212200158017108 L in 1 CYLINDER (21220-158-01)Marketed from Jan 1, 1975
21220-158-0221220015802708 L in 1 CYLINDER (21220-158-02)Marketed from Jan 1, 1975

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)
Helium/Oxygen Mixture 70/30
Generic name (nonproprietary)
helium/oxygen mixture 70/30
Active ingredients
Oxygen — 300 mL/L
Dosage form
Gas
Route
Respiratory (Inhalation)
Labeler
General Air Service & Supply CoNDC labeler code 21220
Product type
Prescription drug
Marketing category
NDA — New Drug ApplicationApplication NDA 205849
Marketing start
Listing expires
Identifiers
Product ID 21220-158_44876125-3917-ecfd-e063-6294a90a2260SPL ID 44876125-3917-ecfd-e063-6294a90a2260SPL set ID 620d5fe1-f7f1-8de7-e053-2a91aa0a8664UNII 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

N421220015801 followed by a unit qualifier and the quantity

Package 21220-0158-01. 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 21220-158

What is NDC 21220-158?
21220-158 is the product NDC for Helium/Oxygen Mixture 70/30, Oxygen 300 mL/L gas, listed with the FDA by General Air Service & Supply Co. It has 2 package NDCs, shown above in 10- and 11-digit form.
What drug is associated with this NDC?
Helium/Oxygen Mixture 70/30.
What is the active ingredient?
Oxygen.
Who is the labeler?
General Air Service & Supply Co, NDC labeler code 21220. The labeler is the company responsible for the label; it may be the manufacturer, a repackager or a distributor.
What other NDCs exist for Helium/Oxygen Mixture 70/30?
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 205849

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

FDA NDC Directory listings under NDA 205849
ProductStrengthForm · routeLabelerProduct NDC
OxygenOxygen 995 mL/LGasRespiratory (Inhalation)Toll Company82457-004
OxygenOxygen 99 L/100LGasRespiratory (Inhalation)Biomedics Systems, Inc.72574-001
OxygenOxygen 991 mL/LGasRespiratory (Inhalation)NexAir, LLC12213-720
OxygenOxygen 992 mL/LGasRespiratory (Inhalation)Central-McGowan, Inc.10221-001
Nitrogen Oxygen MixOxygen 210 mL/LGasRespiratory (Inhalation)NexAir, LLC12213-733
Carbon Dioxide/Oxygen MixOxygen 50 mL/LGasRespiratory (Inhalation)NEXAIR, LLC12213-800
OxygenOxygen 99 L/100LGasRespiratory (Inhalation)James Supplies, L.L.c50505-001
Helium/Oxygen MixOxygen 200 mL/LGasRespiratory (Inhalation)NEXAIR, LLC12213-801
OxygenOxygen 995 mL/LGasRespiratory (Inhalation)General Air Service & Supply Co21220-119
Oxygen Nitrogen MixtureOxygen 200 mL/LGasRespiratory (Inhalation)General Air Service & Supply Co.21220-130
AirOxygen 210 mL/LGasRespiratory (Inhalation)General Air Service & Supply Co21220-152
Helium/Oxygen Mixture 80/20Oxygen 200 mL/LGasRespiratory (Inhalation)General Air Service & Supply Co.21220-155
Carbon Dioxide Oxygen MixtureOxygen 800 mL/LGasRespiratory (Inhalation)General Air Service & Supply Co21220-156
OxygenOxygen 99 L/100LGasRespiratory (Inhalation)RTA Pediatric Care Inc.69241-001
OxygenOxygen 99 L/100LGasRespiratory (Inhalation)Gilmore Liquid Air Co.51012-001
OxygenOxygen 995 mL/LGasRespiratory (Inhalation)General Cryogenic Technologies LLC21221-002
OxygenOxygen 990 mL/LGasRespiratory (Inhalation)DuPuy Oxygen & Supply Company, Inc.50554-100
OxygenOxygen 990 mL/LGasRespiratory (Inhalation)T.W. Smith Corp.52563-005
OxygenOxygen 99 L/100LGasRespiratory (Inhalation)Holston Gases, Inc.55050-0011
OxygenOxygen 1 L/LGasRespiratory (Inhalation)Empresas De Soldaduras80421-100

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