NDC codes

FDA NDC Directory
Product NDC (as listed)67573-0104Labeler and product segments. Claims need a package NDC.
Product NDC at billing width67573-0104Add 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
67573-0104-767573010407420 L in 1 CYLINDER (67573-0104-7)Marketed from Jan 1, 1977
67573-0104-867573010408690 L in 1 CYLINDER (67573-0104-8)Marketed from Jan 1, 1977
67573-0104-9675730104093160 L in 1 DEWAR (67573-0104-9)Marketed from Jan 1, 1977

How the 11-digit form is made: The package segment has 1 digit, so one leading zero is added to it (5-4-1 → 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)
Oxygen
Generic name (nonproprietary)
oxygen
Active ingredients
Oxygen995 mL/L
Dosage form
Gas
Route
Respiratory (Inhalation)
Product type
Prescription drug
Marketing category
NDA — New Drug ApplicationApplication NDA 205712
Marketing start
Listing expires
Identifiers
Product ID 67573-0104_4393f75c-0624-1ef5-e063-6294a90a4c35SPL ID 4393f75c-0624-1ef5-e063-6294a90a4c35SPL set ID 60de398b-c254-5a8f-e053-2a91aa0aaa99RxCUI 312173UNII 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

N467573010407 followed by a unit qualifier and the quantity

Package 67573-0104-07. 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)

Other NDCs under NDA 205712

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

FDA NDC Directory listings under NDA 205712
ProductStrengthForm · routeLabelerProduct NDC
OxygenOxygen 995 mL/LGasRespiratory (Inhalation)IWS Gas and Supply of Texas, LTD53425-001
OxygenOxygen 990 mL/LGasRespiratory (Inhalation)Quality Air Products Inc63978-001
OxygenOxygen 990 mL/LGasRespiratory (Inhalation)Eureka Oxygen Company66754-001
AirOxygen 210 mL/LGasRespiratory (Inhalation)Central Welding Supply Company70151-003
OxygenOxygen 990 mL/LGasRespiratory (Inhalation)Central Welding Supply Company70151-001
OxygenOxygen 990 mL/LGasRespiratory (Inhalation)DJB Gas Services, Inc43621-001
AirOxygen 210 mL/LGasRespiratory (Inhalation)DJB Gas Services, Inc43621-004
OxygenOxygen 992 L/1000LGasRespiratory (Inhalation)Super Gas, Inc.61128-001
OxygenOxygen 99 L/100LGasRespiratory (Inhalation)Airtec Gases, LLC24312-001
OxygenOxygen 995 mL/LGasRespiratory (Inhalation)Gas and Supply70101-001
OxygenOxygen 995 mL/LGasRespiratory (Inhalation)Arcet Equipment Company dba Arc3 Gases North59788-001
AirOxygen 210 mL/LGasRespiratory (Inhalation)HARTMAN BROTHERS, INC.49204-004
OxygenOxygen 990 mL/LGasRespiratory (Inhalation)HARTMAN BROTHERS, INC.49204-001
OxygenOxygen 995 mL/LGasRespiratory (Inhalation)B & J WELDING SUPPLY, LTD. dba B & J Welding Supply67573-0103
OxygenOxygen 995 mL/LGasRespiratory (Inhalation)SYOXSA, Inc.23647-001
OxygenOxygen 990 mL/LGasRespiratory (Inhalation)GIBBS WELDING SUPPLY, INC.58632-001

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