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The path from research compound to approved medicine is long, costly, and uncertain
In alignment with Centers for Medicare & Medicaid Services (CMS) requirements, we recommend that the following information be included in the designated fields on drug-related medical claims: Applicable HCPCS or Current Procedural Terminology (CPT) codes Number of HCPCS or CPT code units 11-digit NDC, including the N4 qualifier Dosage unit of measurement (F2, GR, ML, or UN) Number of NDC units administered/dispensed (must be greater than 0) NDC coding applies to claims for outpatient services billed with: CMS-1500 for providers UB-04 for hospitals and facilities Electronic data interchange (EDI) 837 Note: This does not affect hospital or facility inpatient claims
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If you fall into one of these categories or suspect a deficiency, visit Sudbury Court Pharmacy to explore your options and receive expert care
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