Additional Information-Charge Level Drug Tab

The NDC code can be added from the new charges tab, prior to posting a new visit to the patient ledger, or added from the Claims tab when editing an existing claim/visit. Double Click on a charge line item to open Charge Details, and enter additional information at the charge level.  Click on the Drug tab.  

For information that will apply to all charges within the claim, see More Info.

Additional charge information Drug Related

Additional charge information Drug Related

Prescription Date-Required when a drug is billed for this line and a prescription was written (or otherwise communicated by the prescriber if not written).

Drug Code-The NDC number is used for reporting prescribed drugs and biologics when required by government regulation, or as deemed by the provider to enhance claim reporting or

adjudication processes. The NDC number is reported in the LIN segment of Loop ID-2410 only.

The FDA issues their numbers in either a 9 or 10 digit format. CMS requires the number to be in the 11 digit format to be compliant with the new 5010 HIPAA standards. If the

code you find on your vial is shorter in length (i.e., 9 or 10 digits), add one or more zeros to the code to create a longer code. A majority of them only have 10 digits.  

 

Here is where to place the extra zero:

• If the NDC code is formatted as 4-4-2, then the extra 0 goes in first position.  ####-####-## becomes 0####-####-##

• If the NDC code is formatted as 5-3-2, then the extra 0 goes in the 6th position.  #####-###-## becomes #####0-###-##

• If the NDC code is formatted as 5-4-1, then the extra 0 goes in the 10th position.  ######-####-# becomes ######-####-0#

Drug Quantity-The dispensing quantity, based upon the unit of measure as defined by the National Drug Code.

Drug Unit-Code specifying the units in which a value is being expressed, or manner in which a measurement has been taken.

Prescription Number-Required when dispensing of the drug has been done with an assigned prescription number.

OR

Required when the provided medication involves the compounding of two or more drugs being reported and there is no prescription number.

 

1. In cases where a compound drug is being billed, the components of the compound will all have the same prescription number. Payers receiving the claim can relate all the components by matching the

prescription number.

2. For cases where the drug is provided without a prescription (for example, from a physician’s office), the value provided in this segment is a “link sequence number”. The link sequence number is a

provider assigned number that is unique to this claim. Its purpose is to enable the receiver to piece together the components of the compound.