NDC Codes for Certain Payers
Posted: Thu Jan 18, 2018 8:58 am
Is there a way to only send NDC codes to certain payers for CPT codes? I am thinking it's not possible to use one CPT code and only send NDC codes to certain payers, but not to send to others. It appears the best option is to create a different Code 1 (then list the correct CPT code in the Alternate Codes) for the payers that do want the NDC codes.
As another question, since I do not bill NDC codes often, is there any harm in billing NDC codes to a payer that normally does not require them. We have some CPT codes where most payers pay them without an NDC code but United HC requires the NDC codes. If I billed the NDC codes to all payers could that affect how the other payers process the claims?
Steve
As another question, since I do not bill NDC codes often, is there any harm in billing NDC codes to a payer that normally does not require them. We have some CPT codes where most payers pay them without an NDC code but United HC requires the NDC codes. If I billed the NDC codes to all payers could that affect how the other payers process the claims?
Steve