Medical Billing Forum

Billing => Billing => : stellerdobes January 16, 2020, 03:43:49 PM

: denial for 96372 injection im/sc
: stellerdobes 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
: Re: denial for 96372 injection im/sc
: Michele January 17, 2020, 09:28:21 AM
Is the 96372 the only code on the claim?
: Re: denial for 96372 injection im/sc
: stellerdobes 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.
: Re: denial for 96372 injection im/sc
: Michele January 20, 2020, 08:57:05 PM
The NDC code would be required for the meds.  What meds are being injected?
: Re: denial for 96372 injection im/sc
: stellerdobes 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
: Re: denial for 96372 injection im/sc
: Michele 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?
: Re: denial for 96372 injection im/sc
: stellerdobes 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
: Re: denial for 96372 injection im/sc
: Michele 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.
: Re: denial for 96372 injection im/sc
: stellerdobes February 06, 2020, 06:53:38 PM
aarp medicare complete
: Re: denial for 96372 injection im/sc
: Michele February 07, 2020, 10:05:31 AM
Have you spoken to a live person?  I would call.  The denial doesn't make sense.