Carbon Dioxide NDC 11054-021

NDC codes

FDA NDC Directory

Product NDC (as listed)11054-021Labeler and product segments. Claims need a package NDC.

Product NDC at billing width11054-0021Add 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 NDC	11-digit (billing)	Package	Copy
11054-021-01	11054002101	14 g in 1 CYLINDER (11054-021-01)Marketed from Jan 2, 2018
11054-021-02	11054002102	16 g in 1 CYLINDER (11054-021-02)Marketed from Jan 2, 2018

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
Generic name (nonproprietary): carbon dioxide
Active ingredients: Carbon dioxide — 1 g/g
Dosage form: Gas
Route: Respiratory (Inhalation)
Labeler: Airgas Usa, LLC
Product type: Prescription drug
Marketing category: NDA — New Drug ApplicationApplication NDA 206025
Marketing start: Jan 2, 2018
Listing expires: Dec 31, 2026
Other FDA classes: X-Ray Contrast Activity (Mechanism)
Identifiers: Product ID 11054-021_a13020c5-5621-470c-ab24-89d73ea17c3eSPL ID a13020c5-5621-470c-ab24-89d73ea17c3eSPL set ID 4e98dcd6-a01f-4b49-bc26-5e545a9faebeRxCUI 308998UNII 142M471B3J
Pharmacologic class: Radiographic Contrast Agent

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

N411054002101 followed by a unit qualifier and the quantity

Package 11054-0021-01. 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

Label details couldn’t be retrieved right now. Open the label on DailyMed.

Other NDCs under NDA 206025

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

FDA NDC Directory listings under NDA 206025
Product	Strength	Form · route	Labeler	Product NDC
Carbon Dioxide	Carbon dioxide 995 mL/L	GasRespiratory (Inhalation)	MEDICAL-TECHNICAL GASES, INC.	10736-014
Carbon Dioxide	Carbon dioxide 1 g/g	GasRespiratory (Inhalation)	AIRGAS THERAPEUTICS LLC	82605-001
Carbon Dioxide	Carbon dioxide 992 mL/L	GasRespiratory (Inhalation)	Airgas Usa, LLC	11054-130