Are the new billing requirements applicable to insulin syringes?
Yes. Effective for dates of service on or after October 1, 2009, insulin syringes must be billed by pharmacy providers using either the 11-digit NDC or UPN on the Pharmacy Claim Form (30-1), electronically in the NCPDP 1.1 batch transaction format, electronically in the NCPDP 5.1 format or with the Real-Time Internet Pharmacy (RTIP) claim submission system. Insulin syringes can no longer be billed using local “99” codes, the CMS-1500 claim form or the ASC X12N 837P 4010A1 electronic format.
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