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March 2014

We’ve made some changes to professional drug quantity reporting

Previously, BCBSM required professional practitioners to split National Drug Code drug quantities between multiple lines on professional claims when the total was greater than 9,999 units. We have now extended the drug quantity field to accept a quantity up to 99,999,999.999 units (eight places before the decimal and three places after the decimal). This will allow you to report the NDC quantity on one line.

However, when you are reporting the same drug, but a different vial size or NDC, please continue to report and bill these services on a separate line with the correct quantity used for each NDC for that drug. 

BCBSM also has extended the HCPCS drug field from 999 units to 9,999.9 units.

The NDC quantity fields are in loop 2410 of the electronic claim and the shaded area above fields 24A through 24G of the paper claim. Please reference the September 2013 Record for more information.

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*CPT codes, descriptions and two-digit numeric modifiers only are copyright 2013 American Medical Association. All rights reserved.
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