ndc

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    Wiki Supartz - correct billing question

    Hi, Having an issue with Supartz billing. We have reasearched and can not find the correct way to document the information on the claim form. We were told that we need the NCD, units of measurement qualifier and the NDC quantity (number of NDC unites administered) listed out in the...
  2. I

    Wiki NDC# with Pediatric Immunization

    Hi, We aren't reporting NDC numbers with Immunization Procedures for a Pediatric clinic. Almost all payers are paying them without the issue, we saw a recent denial from a commercial payer for missing NDC number on a claim for Flu vaccine. Having said that I just want to confirm the general...
  3. J

    Wiki Tricare refunds due to invalid NDC

    Someone familiar with Tricare billing: Please Help! A few months ago, our practice began receiving multiple Tricare refund requests due to "the recommended drug/vaccine dosage for the National Drug Code (NDC) units from the manufacturer has been exceeded." The claims listed were from 2013-2016...
  4. L

    Wiki NDC# denied as invalid for TDAP and Prevnar

    In the past month, our practice (primary care) started getting denials from Medicare and Bcbs for TDAP vaccine (NDC 49281-0400-15) and Prevnar vaccine (NDC 00005-1971-02), stating invalid NDC code. We had not changed anything in our system and have verified the numbers on the vaccine box and it...
  5. J

    Wiki UB-04 Form - Where does an NDC go?

    Can anyone advise where an NDC would go on a UB-04 form? I have always put in in FL 43 in the revenue description box but I am having a payor push back and they want it in FL 80... has anyone ever put NDC information in that box? Thanks in advance
  6. J

    Wiki Billing for a drug with 2 NDC #'s

    Occasionally when I am coding the infusions in our office the drug will be pulled from 2 vials with different NDC#'s. When entering the information for billing there is only room for 1 NDC. Below is an example: OXALIPLATIN (J9263) 40ml comes from - 63323-0212-20 Oxaliplatin 5 mg/mL 20 mL...
  7. J

    Wiki Coding/Billing infusion drugs with 2 NDC#'s.

    Occasionally when I am coding the infusions in our office the drug will be pulled from 2 vials with different NDC#'s. When entering the information for billing there is only room for 1 NDC. Below is an example: OXALIPLATIN (J9263) 40ml comes from - 63323-0212-20 Oxaliplatin 5 mg/mL 20 mL...
  8. N

    Wiki NDC/HCPCS Unit Discrepancy for OCs

    Hi all, Longtime reader, first time poster! I am trying to help a Montana provider fix a billing issue with BCBS. The payer states that the NDC and HCPCS unit numbers for oral contraceptives (S4993) should be per pill. This is inconsistent with how they've billed BCBS in the past, as well as...
    • NFPRHA
    • Thread
    • billing contraception hcpcs ndc ob/gyn
    • Replies: 0
    • Forum: OB/GYN
  9. J

    Wiki HCPCS/NDC Number

    Does an NDC number need to be submitted w/HCPCS medication code?
    • jkluck
    • Thread
    • code medication ndc submitted w/hcpcs
    • Replies: 2
    • Forum: Urology
  10. R

    Wiki NDC Codes

    I have some NDC codes that I cannot find on the internet or using the Medicare crosswalk to HCPS codes. These codes are only off by the last 2 numbers. The NDC code 0641-0928-21 is no where to be found but there is a 0641-0928-25. Has anyone else experienced this issue?
  11. C

    Wiki Tricare NDC P/U

    Tricare requests that after the NDC # that we put a P for package or U for unit for all injectables. Does anyone know the difference between an injectable package and an injectable unit? Thanks
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