Get Instructions For Billing Ndc On The Cms- 1500 Form - Ri.gov - Eohhs Ri

Filling out the Instructions for Billing NDC on the CMS-1500 form can be straightforward with the right guidance. This document provides detailed steps to ensure that healthcare providers can accurately and effectively complete the form online to bill for covered outpatient drugs.

Follow the steps to complete the form accurately.

1. Press the 'Get Form' button to access the form and open it in your digital form editor.
2. Locate Box 24D on the form. Enter the 5-character HCPCS code that corresponds to the procedure being billed in the un-shaded area. Include any applicable modifiers (up to four) associated with the procedure code.
3. In the shaded area of Box 24A, type 'N4,' which signifies that an NDC is being utilized. Follow this with the 11-digit NDC, ensuring all leading zeros are included. After the NDC, add a two-letter abbreviation for the unit of measurement from the provided chart.
4. After the unit abbreviation, enter the number of units (up to five digits) using a decimal and three decimal places as required. Ensure there are no blank spaces between any elements.
5. If you need to report multiple NDCs per HCPCS, download and complete the NDC Attachment Form, referencing the instructions for completion provided within the document.
6. After filling out all necessary fields, save any changes made to the form, then proceed to download, print, or share your completed document as necessary.

Access and complete your documents online for accurate billing.