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Question:
Are there NDCs for compounded drug preparations?
Answer:
A compounded drug preparation does not have a national drug code (NDC); therefore, specific HCPCS codes cannot be used, and these drugs are coded as unclassified. Substances primarily used as stabilizing agents, which are inert ingredients or diluents used in the compounded drug, are considered incidental to the preparation of the compound and are NOT eligible for reimbursement.
HCPCS code J7999—compounded drug, not otherwise classified (NOC)— replaced HCPCS code Q9977 on January 1, 2016. Several Medicare contractors have published information on their individual websites about it, and commercial payers may or may not adopt this code. Be sure to follow-up with your specific payers for their billing requirements.
CPT® copyright 2023 American Medical Association (AMA). All rights reserved.
Fee schedules, relative value units, conversion factors and/or related components are not assigned by the AMA, are not part of CPT, and the AMA is not recommending their use. The AMA does not directly or indirectly practice medicine or dispense medical services. The AMA assumes no liability for data contained or not contained herein.
CPT is a registered trademark of the American Medical Association.
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