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BCBS and J0702

  1. #1
    Default BCBS and J0702
    Medical Coding Books
    Recently we have seen a rash of denials for J0702 from BCBS.
    They are denying it for an invalid NDC#.
    We are using the correct # and when we ask the rep to read it back to us they begin with the N4 line indicator on the claim. So they think the number is:
    Is any one else experiencing this.
    BCBS is claiming that they cannot find that NDC#.....We explain that if they drop the N4 they will not have a problem.
    The answer we usually get is...."Oh"

  2. #2
    Columbia, MO
    The N4 is required when listing the NDC number on the claim it goes first then with no space you put the NDC number. Sorry but BCBS is correct this time. N4 is a qualifier that signals this is an NDC number.

    Debra A. Mitchell, MSPH, CPC-H

  3. #3
    Maybe the space is the issue?
    There is a space between N4 and the NDC# on our claims.

  4. #4
    Columbia, MO
    Then yes that is the issue, there can be no space

    Debra A. Mitchell, MSPH, CPC-H

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