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NDC requirement for drug vs. administration codes

This notice serves as a reminder to all GHP Family providers regarding correct billing procedures when submitting drug and drug administration codes.

When billing medications and related services:

  • An NDC (National Drug Code) is required only on the drug (HCPCS or CPT) code.
  • Do not report an NDC on the administration code.
  • Do not add an NDC to both the drug code and the administration code

Why this matters

Submitting NDCs incorrectly may result in:

  • Claim processing delays
  • Claim denials
  • Need for resubmission or corrected claims

Following these guidelines helps ensure accurate reimbursement and timely adjudication.

Have a question about your claims?

Call 844-GHP-PROV (844-447-7768).
Have other questions? 
See who to call to get the right answer quickly.

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