Why was the requirement to report the National Drug Code (NDC) number on the claim form removed?
Except for unlisted drug code J3490 and J9999, you no longer need to report the NDC for drugs administered in the provider’s office. This requirement was removed in an effort to encourage providers to work towards HIPAA-compliant electronic billing. For more information, please see numbered memo 04-22.Question:When I submit a physician (non-institution) claim for drug code J3490 and J9999 administered in a doctor’s office and the National Drug Code (NDC) is less than 11 digits (example: 004-0251-01), what do I need to do? Answer: 11 digits are needed to bill. MAA’s billing format for NDCs J3490 and J9999 is made up of 3 fields: the first with 5 digits, the next field with 4 digits and the last with 2 digits. If there are less than 11 digits in your NDC, often you can add zeros to the beginning of the NDC field to make 11 digits (example: 00004-0251-01). Sometimes you may only have 3 digits in the middle of the NDC. You may need to add a zero beginning of that field (example: 00004-0251
