Medical Billing Forum

General Category => General Questions => : o.salas February 04, 2021, 09:39:47 PM

: Billing multiples NDC of the same drug
: o.salas 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?

: Re: Billing multiples NDC of the same drug
: Michele 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.

: Re: Billing multiples NDC of the same drug
: alicecarlosmbc February 18, 2021, 07:32:50 AM

I want to know what claims are used for pharmacy billing

: Re: Billing multiples NDC of the same drug
: Michele February 18, 2021, 05:50:16 PM

I'm sorry but I don't understand your question.

: Re: Billing multiples NDC of the same drug
: alicecarlosmbc February 22, 2021, 07:04:44 AM

which claims you used for pharmacy billing?

: Re: Billing multiples NDC of the same drug
: Michele February 22, 2021, 10:06:09 AM

Are you asking what form is used?  Most pharmacies use the 1500 form or 837 format.

: Re: Billing multiples NDC of the same drug
: alicecarlosmbc February 23, 2021, 08:06:43 AM

ok. thank you!