Tuesday, April 26, 2011

REQUEST OF NDC# FOR INJECTION CODES UNDER TRICARE

CPT CODE - J1100

DESCRIPTION OF THE ISSUE
Tricare 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.

SOLUTION
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#.  Henceforth all the injection codes were filed along with NDC# updates.

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