Helium Gas
NDC Package 11054-004-40

View Billable Units, 11-Digit Conversion Format, and RxNorm mappings

Package Information

Helium gases is a human prescription drug administered via intracoronary; respiratory (inhalation) route. This formulation utilizes a gas delivery system. Marketed by Airgas Usa, Llc, this product is identified by NDC 11054-004 and is authorized under FDA application NDA205843.

Identification & Billing

NDC Package Code
11054-004-40
Package Description
8009 L in 1 CYLINDER
Product Code
11-Digit Billing Format
11054000440
RxNorm Crosswalk
RxCUI: 997972 - helium 99.2 % Gas for Inhalation

Clinical Specifications

Proprietary Name
Helium
Non-Proprietary Name
Helium
Substance Name
Helium
Dosage Form
Gas - Any elastic aeriform fluid in which the molecules are separated from one another and so have free paths.
Administration Route
  • Intracoronary - Administration within the coronary arteries.
  • Respiratory (inhalation) - Administration within the respiratory tract by inhaling orally or nasally for local or systemic effect.
Active Ingredient(s)

Regulatory & Marketing

Labeler Name
Airgas Usa, Llc
Product Type
Human Prescription Drug
FDA Application #
NDA205843
Marketing Category
NDA - A product marketed under an approved New Drug Application.
Start Marketing Date
11-06-1997
Listing Expiration
12-31-2026
Exclude Flag
N
Sample Package
No

Hierarchy Structure

Code Lineage

The NDC Directory contains ONLY information on final marketed drugs submitted to FDA electronically by labelers. A labeler might be a manufacturer, re-packager or re-labeler. The product information included in the NDC directory does not indicate that FDA has verified the information provided by the product labeler. Assigned NDC numbers are not in any way an indication of FDA approval of the product.

* Please review the full disclaimer at the bottom of this page.

Other Available Packages

The following commercial packages are registered under the same Product NDC (11054-004). Click a package code to view its specific billing and regulatory data.

99 L in 1 CYLINDER
99 L in 1 CYLINDER
148 L in 1 CYLINDER
148 L in 1 CYLINDER
144 L in 1 CYLINDER
144 L in 1 CYLINDER
181 L in 1 CYLINDER
181 L in 1 CYLINDER
215 L in 1 CYLINDER
215 L in 1 CYLINDER
359 L in 1 CYLINDER
359 L in 1 CYLINDER
448 L in 1 CYLINDER
448 L in 1 CYLINDER
566 L in 1 CYLINDER
566 L in 1 CYLINDER
590 L in 1 CYLINDER
590 L in 1 CYLINDER
1508 L in 1 CYLINDER
1508 L in 1 CYLINDER
3022 L in 1 CYLINDER
3022 L in 1 CYLINDER
177 L in 1 CYLINDER
177 L in 1 CYLINDER
183 L in 1 CYLINDER
183 L in 1 CYLINDER
204 L in 1 CYLINDER
204 L in 1 CYLINDER
354 L in 1 CYLINDER
354 L in 1 CYLINDER
367 L in 1 CYLINDER
367 L in 1 CYLINDER
408 L in 1 CYLINDER
408 L in 1 CYLINDER
459 L in 1 CYLINDER
459 L in 1 CYLINDER
511 L in 1 CYLINDER
511 L in 1 CYLINDER
577 L in 1 CYLINDER
577 L in 1 CYLINDER
598 L in 1 CYLINDER
598 L in 1 CYLINDER
666 L in 1 CYLINDER
666 L in 1 CYLINDER
1021 L in 1 CYLINDER
1021 L in 1 CYLINDER
1137 L in 1 CYLINDER
1137 L in 1 CYLINDER
1397 L in 1 CYLINDER
1397 L in 1 CYLINDER
1555 L in 1 CYLINDER
1555 L in 1 CYLINDER
2105 L in 1 CYLINDER
2105 L in 1 CYLINDER
2344 L in 1 CYLINDER
2344 L in 1 CYLINDER
2835 L in 1 CYLINDER
2835 L in 1 CYLINDER
3120 L in 1 CYLINDER
3120 L in 1 CYLINDER
3460 L in 1 CYLINDER
3460 L in 1 CYLINDER
3853 L in 1 CYLINDER
3853 L in 1 CYLINDER
4762 L in 1 CYLINDER
4762 L in 1 CYLINDER
5664 L in 1 CYLINDER
5664 L in 1 CYLINDER
6570 L in 1 CYLINDER
6570 L in 1 CYLINDER
5503 L in 1 CYLINDER
5503 L in 1 CYLINDER
6202 L in 1 CYLINDER
6202 L in 1 CYLINDER
6370 L in 1 CYLINDER
6370 L in 1 CYLINDER
6910 L in 1 CYLINDER
6910 L in 1 CYLINDER
8210 L in 1 CYLINDER
8210 L in 1 CYLINDER
10685 L in 1 CYLINDER
10685 L in 1 CYLINDER
10860 L in 1 CYLINDER
10860 L in 1 CYLINDER

* Please review the full disclaimer at the bottom of this page.

Frequently Asked Questions

What is the distribution configuration for this product package?

The code 11054-004-40 identifies a specific commercial package of 8009 l in 1 cylinder of Helium, a human prescription drug labeled by Airgas Usa, Llc. This gas is formulated for intracoronary; respiratory (inhalation) use and contains helium as the active substance.

Is this product currently listed with the FDA?

Yes, this product is active and verified within the NDC Directory. It was introduced to the market by Airgas Usa, Llc on November 06, 1997. The current certification is valid through December 31, 2026.

How is this Airgas Usa, Llc product billed for insurance claims?

For medical billing and reimbursement, this package follows the 11-digit CMS format: 11054000440. The table below illustrates the segment conversion from the 10-digit labeler code to the 11-digit provider format.

11-Digit Code Conversion

Billing payers usually require a 5-4-2 segment configuration. Below is the conversion from the 10-digit package format to the 11-digit billing format:

10-Digit Format (5-3-2)
11054-004-40
11-Digit CMS (5-4-2)
11054-0004-40

Note: The zero is added to the Product segment to maintain the 5-4-2 structure.