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If a provider enters the HCPCS Level I, II or III code, units and/or NDC correctly, but does not enter the unit of measurement correctly, will that line item be denied?

April 26, 2017code correctly hcpcs ii III level ndc Provider units

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If a provider enters the HCPCS Level I, II or III code, units and/or NDC correctly, but does not enter the unit of measurement correctly, will that line item be denied?

1 Answer

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Posted

No, not when the NDC number and HCPCS code match in the validation table. The NDC unit of measurement date will be collected only. The field does have to contain information, and we want providers to make their best attempt to list correct information.