Transcription of National Drug Code (NDC) Billing Guidelines for ...
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National Drug Code (NDC) Billing Guidelines for ...
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. Listed below are the preferred NDC units of measure and their descriptions: UN (Unit) Powder for injection (needs to be reconstituted), pellet, kit, patch, tablet, device ML (Milliliter) Liquid, solution, or suspension GR (Gram) Ointments, creams, inhalers, or bulk powder in a jar F2 (International Unit) Products described as IU/vial, or micrograms How do I submit the NDC on my claim ?
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
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