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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