What is an NDC and Why Do I Need To Include It?

 

   NDC is an industry acronym that stands for National Drug Code.  It is a unique 10-digit code that is universal for human drugs in the United States.  It is present on all drug packages in the U.S.  Payers require this information on claims when processing for payment.

 

 

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  • The first set of numbers in the NDC identifies the labeler, such as the drug manufacturer, repackager, or distributer. 
  • The second set of numbers is the product code, which identifies the specific strength, dosage form (i.e, capsule, tablet, liquid) and formulation of a drug for a specific labeler. 
  • Finally, the third set is the package code, which identifies package sizes and types.

(Source: https://www.drugs.com/ndc.html)

 

 

In DrChrono, you can add the NDC to each HCPCS code listed in your fee schedule that will populate on the claim automatically.  

 

Note: If there is a change in NDC code, whether it is a change in manufacturer, dosage form, etc, the NDC will need to be updated in the fee schedule to represent the correct medication given.

 

To add to your fee schedule, navigate to Billing > Fee Schedule.

 

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Select Add New to add a new HCPCS and NDC to the fee schedule, or if it is already existing, click on the pencil icon on the right.  It will open this screen:

 

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   The NDC code, quantity and units can be entered for the HCPCS code.  It will then populate on the claim each time it is added to an appointment.  ** It will need to be updated if something changes with the manufacturer/dosage/etc that would change the NDC. **

 

 

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