NDC codes

FDA NDC Directory
Product NDC (as listed)84120-003Labeler and product segments. Claims need a package NDC.
Product NDC at billing width84120-0003Add 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
84120-003-01841200003011337 L in 1 CYLINDER (84120-003-01)Marketed from May 7, 2024
84120-003-02841200003022978 L in 1 CYLINDER (84120-003-02)Marketed from May 7, 2024
84120-003-03841200003034073 L in 1 CYLINDER (84120-003-03)Marketed from May 7, 2024
84120-003-04841200003046139 L in 1 CYLINDER (84120-003-04)Marketed from May 7, 2024
84120-003-05841200003058267 L in 1 CYLINDER (84120-003-05)Marketed from May 7, 2024
84120-003-068412000030610090 L in 1 CYLINDER (84120-003-06)Marketed from May 7, 2024
84120-003-078412000030716047 L in 1 CYLINDER (84120-003-07)Marketed from May 7, 2024
84120-003-088412000030818175 L in 1 CYLINDER (84120-003-08)Marketed from May 7, 2024
84120-003-0984120000309535 L in 1 CYLINDER (84120-003-09)Marketed from May 7, 2024
84120-003-10841200003101070 L in 1 CYLINDER (84120-003-10)Marketed from May 7, 2024
84120-003-11841200003111745 L in 1 CYLINDER (84120-003-11)Marketed from May 7, 2024
84120-003-1284120000312711 L in 1 CYLINDER (84120-003-12)Marketed from May 7, 2024
84120-003-13841200003135167 L in 1 CYLINDER (84120-003-13)Marketed from May 7, 2024
84120-003-148412000031414163 L in 1 CYLINDER (84120-003-14)Marketed from May 7, 2024
84120-003-158412000031518600 L in 1 CYLINDER (84120-003-15)Marketed from May 7, 2024

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)
Nitrous Oxide
Generic name (nonproprietary)
nitrous oxide
Active ingredients
Nitrous oxide — 992 mL/L
Dosage form
Gas
Route
Respiratory (Inhalation)
Labeler
WSM SUPPLIER LLC.NDC labeler code 84120
Product type
Prescription drug
Marketing category
NDA — New Drug ApplicationApplication NDA 209989
Marketing start
Listing expires
Identifiers
Product ID 84120-003_40a9f90f-59ef-d5ca-e063-6294a90abc91SPL ID 40a9f90f-59ef-d5ca-e063-6294a90abc91SPL set ID 17e334cc-a3af-d4f0-e063-6294a90ae41eRxCUI 347166UNII K50XQU1029

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

N484120000301 followed by a unit qualifier and the quantity

Package 84120-0003-01. 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 84120-003

What is NDC 84120-003?
84120-003 is the product NDC for Nitrous Oxide, Nitrous oxide 992 mL/L gas, listed with the FDA by WSM SUPPLIER LLC.. It has 15 package NDCs, shown above in 10- and 11-digit form.
What drug is associated with this NDC?
Nitrous Oxide.
What is the active ingredient?
Nitrous oxide.
Who is the labeler?
WSM SUPPLIER LLC., NDC labeler code 84120. The labeler is the company responsible for the label; it may be the manufacturer, a repackager or a distributor.
What other NDCs exist for Nitrous Oxide?
42 other product NDCs are listed under this name. See all Nitrous Oxide 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 Nitrous Oxide NDCs
ProductStrengthForm · routeLabelerProduct NDCPackage NDCs (11-digit)
Nitrous OxideNitrous oxide 990 mL/LGasRespiratory (Inhalation)AGP LLC22557-00322557-0003-0122557-0003-0222557-0003-03+2 more
Nitrous OxideNitrous oxide 992 mL/LGasRespiratory (Inhalation)Analgesic Services Inc52085-00352085-0003-0152085-0003-0252085-0003-03
Nitrous OxideNitrous oxide 990 mL/LGasRespiratory (Inhalation)MAVERICK OXYGEN & RESPIRATORY EQUIPMENT, LLC67477-00267477-0002-0167477-0002-0267477-0002-03
Nitrous OxideNitrous oxide 99 L/100LGasRespiratory (Inhalation)Keen Compressed Gas Co. Inc.48273-00248273-0002-0448273-0002-0548273-0002-06+3 more
Nitrous OxideNitrous oxide 990 mL/LGasRespiratory (Inhalation)MITCHELL WELDING SUPPLY DBA Meritus Texas72276-00272276-0002-0172276-0002-0272276-0002-03+13 more
Nitrous OxideNitrous oxide 990 mL/LGasRespiratory (Inhalation)DJB Gas Services, Inc43621-00343621-0003-1143621-0003-1243621-0003-13+8 more
Nitrous OxideNitrous oxide 990 mL/LGasRespiratory (Inhalation)Central Welding Supply Company70151-00470151-0004-0270151-0004-0470151-0004-10+5 more
Nitrous OxideNitrous oxide 990 mL/LGasRespiratory (Inhalation)Metro Welding Supply Corporation62273-00562273-0005-0162273-0005-0362273-0005-04+3 more
Nitrous OxideNitrous oxide 990 mL/LGasRespiratory (Inhalation)American Welding & Gas44076-01244076-0012-0144076-0012-0244076-0012-03+11 more
Nitrous OxideNitrous oxide 990 mL/LGasRespiratory (Inhalation)ILMO Products Company51486-00751486-0007-0451486-0007-0551486-0007-06+2 more

All 43 Nitrous Oxide NDCs

Other NDCs under NDA 209989

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

FDA NDC Directory listings under NDA 209989
ProductStrengthForm · routeLabelerProduct NDC
Nitrous OxideNitrous oxide 990 mL/LGasRespiratory (Inhalation)Lessors, Incorporated55404-002
Nitrous OxideNitrous oxide 995 mL/LGasRespiratory (Inhalation)MEDICAL-TECHNICAL GASES, INC.10736-017
Nitrous OxideNitrous oxide 990 mL/LGasRespiratory (Inhalation)MAVERICK OXYGEN & RESPIRATORY EQUIPMENT, LLC67477-002
Nitrous OxideNitrous oxide 992 mL/LGasRespiratory (Inhalation)Analgesic Services Inc52085-003
Nitrous OxideNitrous oxide 99 L/100LGasRespiratory (Inhalation)Volunteer Welding Supply Inc53511-003
Nitrous OxideNitrous oxide 99 L/100LGasRespiratory (Inhalation)Badger Welding Supplies, Inc.12121-002
Nitrous OxideNitrous oxide 992 mL/LGasRespiratory (Inhalation)Matheson Tri-Gas, Inc.55037-301
Nitrous OxideNitrous oxide 99 L/100LGasRespiratory (Inhalation)Corrigan Propane LLC dba Blue Water Industrial Products44517-020
OxygenNitrous oxide 992 mL/LGasRespiratory (Inhalation)All Gas & Welding Supplies Co., Inc.56130-004
Nitrous OxideNitrous oxide 99 L/100LGasRespiratory (Inhalation)Crumpton Welding Supply & Equipment, Inc.52568-002
Nitrous OxideNitrous oxide 990 mL/LGasRespiratory (Inhalation)MITCHELL WELDING SUPPLY DBA Meritus Texas72276-002
Nitrous OxideNitrous oxide 990 mL/LGasRespiratory (Inhalation)Linde Gas & Equipment Inc.59579-004
Nitrous OxideNitrous oxide 990 mL/LGasRespiratory (Inhalation)General Welding Supply Corp.20703-003

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