Oxygen Helium Mixture 20/80 Gas
NDC Package 17575-192-01

View Billable Units, 11-Digit Conversion Format, and RxNorm mappings
Table of Contents
    1. Package Information
    2. Other Packages
    3. Frequently Asked Questions

Package Information

Oxygen Helium Mixture 20/80 gases is a human prescription drug administered via respiratory (inhalation) route. This formulation utilizes a gas delivery system. Marketed by Agl Inhalation Therapy Co., this product is identified by NDC 17575-192 and is authorized under FDA application NDA205767.

Identification & Billing

NDC Package Code
17575-192-01
Package Description
4554 L in 1 CYLINDER
Product Code
17575-192
11-Digit Billing Format
17575019201
RxNorm Crosswalk

Clinical Specifications

Proprietary Name
Oxygen Helium Mixture 20/80
Non-Proprietary Name
Oxygen Helium Mixture 20/80
Substance Name
Oxygen
Dosage Form
Gas - Any elastic aeriform fluid in which the molecules are separated from one another and so have free paths.
Administration Route
Respiratory (inhalation) - Administration within the respiratory tract by inhaling orally or nasally for local or systemic effect.
Active Ingredient(s)
OXYGEN 200 mL/L

Regulatory & Marketing

Labeler Name
Agl Inhalation Therapy Co.
Product Type
Human Prescription Drug
FDA Application #
NDA205767
Marketing Category
NDA - A product marketed under an approved New Drug Application.
Start Marketing Date
01-01-1966
Listing Expiration
12-31-2027
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 (17575-192). Click a package code to view its specific billing and regulatory data.

17575-192-02
500 L in 1 CYLINDER
17575-192-03
4910 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 17575-192-01 identifies a specific commercial package of 4554 l in 1 cylinder of Oxygen Helium Mixture 20/80, a human prescription drug labeled by Agl Inhalation Therapy Co.. This gas is formulated for respiratory (inhalation) use and contains oxygen 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 Agl Inhalation Therapy Co. on January 01, 1966. The current certification is valid through December 31, 2027.

How is this Agl Inhalation Therapy Co. product billed for insurance claims?

For medical billing and reimbursement, this package follows the 11-digit CMS format: 17575019201. 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)
17575-192-01
11-Digit CMS (5-4-2)
17575-0192-01

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