Free Medisoft Support & Other - Courtesy Support Resource

For prospective & existing Walker Tek Solutions' clients. (Remember me for upgrades ~ Gavin)
It is currently Tue Jan 16, 2018 10:03 pm

All times are UTC-05:00




Post new topic  Reply to topic  [ 5 posts ] 
Author Message
 Post subject: NDC Codes
PostPosted: Mon Oct 30, 2017 9:55 am 
Offline

Joined: Fri Mar 11, 2011 6:59 pm
Posts: 221
I have rarely had to bill drugs/injections but one payer is requiring NDC codes. I am a little unsure about stuff.

First, if I populate all of the required info for the CPT code (NDC code, NDC Unit of Measurement, Unit Price), does that info auto populate on the EDI claim or do I have to select any other option to ensure the NDC info goes on the claim?

Second, as an example I have an NDC code 49281028610 for CPT code 90700. I understand to enter that NDC Code, to enter ml as the unit of measurement and to enter $80 as the unit price. They are dispensing 0.50 ml so do I enter the default units as 0.50?

Thanks,
Steve

_________________
Steven Zats
Medical Billing Professionals


Top
   
 Post subject: Re: NDC Codes
PostPosted: Mon Oct 30, 2017 9:57 am 
Offline

Joined: Fri Mar 11, 2011 6:59 pm
Posts: 221
Following up on the above, first I believe I have to enter N4 in the Code ID Qualifier field also, right?

Second, I cannot enter 0.50 as the default units so how do I enter 0.50 as the ml units for the claim?

Thanks,
Steve

_________________
Steven Zats
Medical Billing Professionals


Top
   
 Post subject: Re: NDC Codes
PostPosted: Tue Oct 31, 2017 7:50 am 
Offline
User avatar

Joined: Wed Apr 04, 2007 10:11 pm
Posts: 4002
Location: Springfield, MO
If you are using Revenue Management to generate ANSI 5010 claims, you don't enter the Code ID Qualifier. That is automatically generate on the claim.

In Transaction Entry click the Details button. You should see all the NDC information defaulted in from the Procedure Code settings.

In the Receiver setup in Revenue Management, make sure you have the Send Drug Loop option checked.


Top
   
 Post subject: Re: NDC Codes
PostPosted: Tue Nov 28, 2017 1:06 pm 
Offline

Joined: Sat Oct 03, 2015 10:37 am
Posts: 18
one payer is requesting 2 NDC codes(90698) which has 2 vials to be mixed before administration how to we enter it
Thanks
Usha


Top
   
 Post subject: Re: NDC Codes
PostPosted: Thu Nov 30, 2017 9:06 am 
Offline
User avatar

Joined: Wed Apr 04, 2007 10:11 pm
Posts: 4002
Location: Springfield, MO
You set the NDC code on the Procedure Code and that defaults the Transaction Details button. You can setup additional procedure codes if necessary to reflect additional NDC codes.


Top
   
Display posts from previous:  Sort by  
Post new topic  Reply to topic  [ 5 posts ] 

All times are UTC-05:00


Who is online

Users browsing this forum: No registered users and 4 guests


You cannot post new topics in this forum
You cannot reply to topics in this forum
You cannot edit your posts in this forum
You cannot delete your posts in this forum
You cannot post attachments in this forum

Jump to:  
Powered by phpBB® Forum Software © phpBB Limited