Inserting an NDC Number for Injectable Codes

Inserting an NDC Number for Injectable Codes

When entering specific injectable J-codes into the service code work area of your note, you will be prompted to include the accompanying 11-digit NDC number. 


You will want to ensure that you have your injection code(s) added to your short list. A group administrator can establish the code first in Group Level Settings and Directories in the Service/Mod Codes tab. Then the user can add that code to their short list with a billing rate. Open documentation on Set Up Service Code Short List and Billing Rates to view our Knowledge Base guide on adding service codes.
 
In the service code work areas of a Progress Note, click in any service code dropdown to select an injectable code from your short list.
  
Once selected, you will receive a prompt asking you to type in the 11-digit NDC number for the specified injection code. Then click OK.

Screenshot for Inserting an NDC Number for Injectable Codes

Your J-code will briefly display as a set of numerical characters that will revert back to the J-code once the NDC number is entered. The injectable code(s) will be added to the note.

Screenshot for Inserting an NDC Number for Injectable Codes

On the CMS 1500 form for professional billing, the injectable code(s) will be in the shaded portion of Box 24A.

Screenshot for Inserting an NDC Number for Injectable Codes

For customers billing electronically, the NDC code(s) will populate in Loop 2410 segment LIN03 of the ANSI.

Screenshot for Inserting an NDC Number for Injectable Codes

The following injection codes will trigger the NDC prompt:
  1. J0120
  2. J0171
  3. J0561
  4. J0690
  5. J0696
  6. J0780
  7. J1030
  8. J1040
  9. J1050
  10. J1100
  11. J1200
  12. J1360
  13. J1361
  14. J1631
  15. J1885
  16. J2030 
  17. J2315
  18. J2358
  19. J2426 
  20. J2505
  21. J2550
  22. J2680
  23. J2794
  24. J2920
  25. J2930
  26. J3301 
  27. J3420
  28. J3490
  29. J7040
  30. J7120
  31. J7510
  32. J7050
  33. J7060
  34. Q9991
  35. Q9992
  36. S0013