Pharmacy Question for the Week of August 28, 2017

Question:

If the units of a drug given exceed the size of the units field on the claim, how should the remaining be billed?

Answer:

According to Medicare Claims Processing Manual (chapter 17, section 70), if the units provided exceed the size of the units field, or require more characters to report than spaces available in the format, providers should repeat the HCPCS or national drug code (NDC) on multiple lines until all units can be reported.

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