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Drug Unit Count Code Qualifier is required and must be valid

Updated: 10/22/2020
Views: 13635

Rejection Message

Drug Unit Count Code Qualifier is required and must be valid

Rejection Details

This rejection is due to a missing or invalid "Drug Unit Count Code Qualifier” for procedure (CPT/HCPCS) codes with an 11-digit National Drug Code (NDC) number.

Valid Drug Unit Code Qualifiers:

  • F2 - International Unit
  • GR - Gram
  • ME - Milligram
  • ML - Milliliter
  • UN - Unit

Resolution

Follow the steps below depending on whether the National Drug Code (NDC) number was entered in the Procedure or Encounter record.

  • If the NDC number was entered in the Procedure record:
  1. Find and open the procedure. The Edit Procedure window opens.
  2. Under the Drug Information section, click the Unit of measure drop-down arrow and select the appropriate qualifier.
    Note: The MCG and MG qualifiers are only accepted on paper claims. When unsure, contact the payer to verify the required drug information to prevent further claim rejections.
    • If necessary, update the Unit count.
  3. Click Save.

Then, rebill and resubmit all affected claims.

EditProcedure_UnitOfMeasure.png

  • If the NDC number was entered in the Encounter record:
  1. Find and open the encounter. The Edit Encounter window opens. 
  2. Under the UM column of the Procedures section, update the unit of measure to the appropriate qualifier.
    Note: The MCG and MG qualifiers are only accepted on paper claims. When unsure, contact the payer to verify the required drug information to prevent further claim rejections.
    • If the UM column is not displayed, customize the Procedures section to add the NDC column (which automatically adds the UC and UM columns as well).
    • If necessary, update the unit count (UC).
  3. Click Save.

Then, rebill and resubmit all affected claims.

EditEncounter_Procedures_UM.png

 

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