by Medical Billing | Jun 10, 2016 | CPT modifiers
1. What is an NDC? “NDC” stands for National Drug Code. It is a unique, 3-segment numeric identifier assigned to each medication listed under Section 510 of the U.S. Federal Food, Drug and Cosmetic Act. The first segment of the NDC identifies the labeler (i.e., the...
by Medical Billing | Jun 8, 2016 | CPT modifiers
Unclassified Drugs An unclassified drug is defined as a drug that does not have a specific, designated HCPCS/CPT code. Unclassified HCPCS/CPT codes should only be used when a specific HCPCS/CPT code is not available for the drug being billed. Claims being sumitted...
by Medical Billing | Jun 5, 2016 | CPT modifiers
A critical component to filing claims with a NDC Code is to ensure that the appropriate HCPCS/CPT code is billed with the NDC Code. A NDC to HCPCS crosswalk identifies the assigned HCPCS/CPT code(s) for the NDC code associated to the drug service(s) billed based upon...
by Medical Billing | Jun 3, 2016 | CPT modifiers
NDC Code An NDC (National Drug Code) is a unique identifier which identifies a specific drug. Even though an NDC Code is assigned to a drug, the drug may not be approved by the FDA. The NDC code(s) reported by the manufacture is the billable NDC code and is generally...
by Medical Billing | Jun 2, 2016 | CPT modifiers
Payment for Evaluation and Management Services Provided During Global Period of Surgery A. CPT Modifier “-24” – Unrelated Evaluation and Management Service by Same Physician During Postoperative Period Carriers pay for an evaluation and management service other...
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