NDC# REQUEST FOR INJECTION CODES BY MEDICAID AND ITS HMOs

AFFECTED CPTs - J7613, J7626,J2405, J0696
DESCRIPTION OF THE ISSUE
Medicaid and MCD HMOs denied all injection codes for need of NDC# update.

CONCEPT
All injection drug codes should be billed along with NDC# updates for the claims to be reimbursed.

REASON
Compiled list of injection codes that were denied for NDC# update towards Dr’s office, for which we received NDC# information from the provider.  Later we refiled all denied claims with NDC#.  But the still the claims got denied for invalid/missing NDC#.  Hence we analyzes on the NDC# update is still going on.

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