Transcription of National Drug Code (NDC) Billing Guidelines
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National Drug Code (NDC) Billing Guidelines
Updated March - April 2015 National drug code (NDC) Billing Guidelines for Professional Claims Blue Cross and Blue Shield of Illinois (BCBSIL) requires the use of National drug Codes (NDCs) and related information when drugs are billed on professional/ancillary electronic (ANSI 837P) and paper (CMS-1500) claims. Professional/ancillary claims for drugs must include NDC data in order to be accepted for processing by BCBSIL. Where do I find the NDC? The NDC is usually found on the drug label or medication s outer packaging. If the medication comes in a box with multiple vials, using the NDC on the box (outer packaging) is recommended. The number on the packaging may be less than 11 digits. An asterisk may appear as a placeholder for any leading zeros. The container label also displays information for the unit of measure for that drug .
review or audit. As a reminder, you also must include your billable charge.] (Continued on Page 2) A Division of Health Care Service Corporation, a Mutual Legal Reserve Company, an Independent Licensee of the Blue Cross and Blue Shield Association. Updated February 2019 …
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