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  • Reporting a Not Otherwise Classified Drug Code

    Where would we place the additional information for a drug reported with a NOC HCPCS code on the claim form, or does it matter?

    Report the name of the drug, dosage, and route of administration in item 19 of the CMS-1500 or electronic data interchange (EDI)  equivalent.
    Report the 11-digit National Drug Code (NDC) code in 5-4-2 format, preceded by “N4” qualifier followed by unit of measurement (UOM) in item 24a or EDI equivalent.

    Visit Coding for Injectable Drugs for additional resources.

    If you missed the 2023 Retina Coding Summer Symposium presented July 25, you can purchase the recording through Nov. 20.