Author Topic: denial for 96372 injection im/sc (Read 1612 times)

stellerdobes · « **on:** January 16, 2020, 03:43:49 PM »

Getting a denial stating ndc code must be 11 digits. Im confused as this is not a drug but admin fee

Michele · « **Reply #1 on:** January 17, 2020, 09:28:21 AM »

Is the 96372 the only code on the claim?

stellerdobes · « **Reply #2 on:** January 20, 2020, 11:53:21 AM »

no Im putting in the cpt code for the office visit, meds, and then the injection. But the claim is rejecting stating the ndc # is in correct for the injection.

Michele · « **Reply #3 on:** January 20, 2020, 08:57:05 PM »

The NDC code would be required for the meds. What meds are being injected?

stellerdobes · « **Reply #4 on:** January 21, 2020, 04:31:15 PM »

Yes but it is rejecting for wrong ndc # for 96372 which is the admin fee cpt code not the ndc on the meds

Medical Billing Forum · « **Reply #4 on:** January 21, 2020, 04:31:15 PM »

Michele · « **Reply #5 on:** January 24, 2020, 11:21:14 AM »

Is the whole claim rejecting? Is the NDC number on the claim for the meds that were given?

stellerdobes · « **Reply #6 on:** January 30, 2020, 12:33:19 PM »

Not the whole claim just the 96372 because of invalid NDC #. The NDC # for the med was submitted. The ov and med was paid for

Michele · « **Reply #7 on:** January 31, 2020, 10:05:03 AM »

OK, what insurance is it? I looked back thru the thread and that's not mentioned. It sounds to me like it is most likely a commercial carrier. I would call because that sounds like a processing error on their end. The 96372 is the administration of the injection so it (obviously) doesn't need or have an NDC.

stellerdobes · « **Reply #8 on:** February 06, 2020, 06:53:38 PM »

aarp medicare complete

Michele · « **Reply #9 on:** February 07, 2020, 10:05:31 AM »

Have you spoken to a live person? I would call. The denial doesn't make sense.

Medical Billing Forum · « **Reply #9 on:** February 07, 2020, 10:05:31 AM »

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