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NDC- Medicare

  1. #1
    Default NDC- Medicare
    Medical Coding Books
    Has anyone had trouble billing Medicare and using NDC format? Keep getting rejects for invalid format... reject reads must be 5-4-2 format no hyphens. We have billed with no hyphens, extra digit in front, and with hyphens.

  2. #2
    Location
    Columbia, MO
    Posts
    12,531
    Default
    There must be an N4 in front of the number with no space and you substitute 0 for the dashes and make sure the number is 11 digits exactly so they the N4 plus the number will equal 13 characters

    Debra A. Mitchell, MSPH, CPC-H

  3. #3
    Default
    Our NDC for example is 55555-4444-22 so take out the - and add zero's correct? So it would be 5555504444022? then put N4 in front? That makes it 14 digits. Did I understand correctly/right? Thank you for your help

  4. #4
    Location
    Columbia, MO
    Posts
    12,531
    Default
    you can only have 13 total so you would leave the 0 s out in your example. The number itself can be only 11 digits. Then you put the N4 in front so N455555444422

    Debra A. Mitchell, MSPH, CPC-H

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