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NDC Requirement for Drugs Reported on …

900-4091-0817 September 2017 Important Update! NDC Requirement for Drugs Reported on Professional and Institutional Claims Goes Into Effect November 1, 2017 In December, Florida Blue temporarily postponed the implementation of new billing requirements for Drugs Reported on professional and institutional claims that required National Drug Codes (NDC) numbers for drug HCPCS/CPT. The only exception was related to Unlisted Drug HCPCS/CPT codes. The temporary postponement allowed adequate time for Florida Blue contracted facilities and providers to align with the new billing guidelines. Effective November 1, 2017, Florida Blue will implement the NDC-required changes in support of with industry standards to enhance claim reporting and improving adjudication processes.

900-4091-0817 3 Frequently Asked Questions: 1. What is being implemented in November 2017 vs. what was implemented in November 2016? Florida Blue’s modified listing of HCPCs/CPT codes that will require an NDC number is being

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