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What Does An NDC Number Indicate?


The National Drug Code (NDC) is the number which identifies a drug. The NDC number consists of 11 digits, broken into 3 sections in a 5-4-2 format. The first 5 digits identify the labeler code representing the manufacturer of the drug and are assigned by the Food and Drug Administration (FDA).

How do you bill NDC codes?

The NDC must follow the 5digit4digit2digit format (11-digit billing format, with no spaces, hyphens or special characters). If the NDC on the package label is less than 11 digits, a leading zero must be added to the appropriate segment to create a 5-4-2 configuration. The NDC must be active for the date of service.

What does NDC stand for in medical terms?

Drugs are identified and reported using a unique, three-segment number called the National Drug Code (NDC) which serves as the FDA’s identifier for drugs. FDA publishes the listed NDC numbers in the NDC Directory which is updated daily.

How do you enter a NDC number on a claim?

Where do I enter NDC data on a paper claim (CMS-1500 or UB-04)? CMS-1500: In the shaded portion of line-item field 24A-24G, enter NDC qualifier N4 (left-justified), immediately followed by the NDC. Enter one space for separation.

How many numbers are in an NDC?

It should be noted that many National Drug Code (NDC) are displayed on drug packing in a 10-digit format. Proper billing of a National Drug Code (NDC) requires an 11-digit number in a 5-4-2 format.

What is NDC number on hand sanitizer?

What is an NDC number? The National Drug Code directory provides each drug with a unique, 10-digit, 3-segement number. That number identifies the labeler, product and size of the package as well as the strength, dosage form and other information related to the product, according to the FDA.

How do you calculate NDC?

The formula for calculation is NDC = 1.41*(PV/GR&R) Gauge Repeatability refers to the ability of a single operator (often a person) to get the same result repeatedly; Gauge Reproducibility refers to the measurements of multiple operators falling within a tight range.


How do I get a CMS 1500 form?

In order to purchase claim forms, you should contact the U.S. Government Printing Office at 1-866-512-1800, local printing companies in your area, and/or office supply stores. Each of the vendors above sells the CMS-1500 claim form in its various configurations (single part, multi-part, continuous feed, laser, etc).

What are NDC codes used for?

The NDC, or National Drug Code, is a unique 10-digit, 3-segment number. It is a universal product identifier for human drugs in the United States. The code is present on all nonprescription (OTC) and prescription medication packages and inserts in the US.

What is NDC unit?

The National Drug Code (NDC) Billing Unit Standard designates four units of measure to describe all drugs: “UN” (unit), “ML” (milliliter), “GR” (gram) and “F2” (international unit). Each drug’s container label displays the appropriate unit of measure for that drug.

What does NDC stand for in travel?

NDC ( New Distribution Capability ) is a travel industry-supported program (NDC Program) launched by IATA for the development and market adoption of a new, XML-based data transmission standard (NDC Standard). The NDC Standard enhances the capability of communications between airlines and travel agents.

How do I find my NDC labeler code?

You can also access NDC numbers via the free Medication Guide App. The FDA also maintains a searchable database of NDC codes on their website. NDC numbers can also be found in the drug product labeling (for example, the package insert) as well as on the package itself.

Are NDC codes required for Medicare claims?

A1. While the Centers for Medicaid and Medicare Services (CMS) does not require the NDC on traditional Medicare claims, NJ Medicaid NDC requirements are being reviewed, communicated and enforced by the State of New Jersey.

What does invalid NDC number mean?

Invalid NDC A claim with this rejection means that the NDC that was submitted on the claim was invalid. This could be due to the NDC being obsolete or the incorrect number being sent on the claim. It is good to check the NDC against the FDA’s website for accuracy, and to be sure that the NDC is still valid.

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