Author Topic: Billing multiples NDC of the same drug  (Read 258 times)

o.salas

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Billing multiples NDC of the same drug
« on: February 04, 2021, 09:39:47 PM »
Hi.
How do i bill for J-Code on a pharmacy claim (CMS1500, 837p) if i need to include de NDC.

J9305 - Alimta.
Have 2 NDC for a vial of 500mg and 100mg

Doctor use for a dose of 750mg 1 vial of 500mg and 3 of 100mg. Now i need to specify on the claim

J9305, billable units (80), NDCs and NDCs units

Should i bill every NDC in its own line on the claim joined by a prescription number?

Michele

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Re: Billing multiples NDC of the same drug
« Reply #1 on: February 05, 2021, 04:23:10 PM »
I do not bill pharmacy but I believe that you would bill them on separate lines for each NDC.
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alicecarlosmbc

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Re: Billing multiples NDC of the same drug
« Reply #2 on: February 18, 2021, 07:32:50 AM »
I want to know what claims are used for pharmacy billing

Michele

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Re: Billing multiples NDC of the same drug
« Reply #3 on: February 18, 2021, 05:50:16 PM »
I'm sorry but I don't understand your question.
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alicecarlosmbc

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Re: Billing multiples NDC of the same drug
« Reply #4 on: February 22, 2021, 07:04:44 AM »
which claims you used for pharmacy billing?

Michele

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Re: Billing multiples NDC of the same drug
« Reply #5 on: February 22, 2021, 10:06:09 AM »
Are you asking what form is used?  Most pharmacies use the 1500 form or 837 format.
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alicecarlosmbc

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Re: Billing multiples NDC of the same drug
« Reply #6 on: February 23, 2021, 08:06:43 AM »
ok. thank you!