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Drug Unit Count Code Qualifier is required and must be valid

 

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 NDC (National Drug Code) Number.  See Converting NDCs From 10 Digits to 11 Digits for help with NDC conversions.

Valid Drug Unit Code Qualifiers:

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

Resolution

Follow the instructions below to add the unit count to the NDC procedure code:

  1. Click Settings > Codes > Find Procedures. The Find Procedure window opens.
  2. Look for and open the Procedure. The Edit Procedure window opens.
  3. If necessary, enter the Drug Name.
  4. Enter the NDC Number (in the correct 11-digit NDC format) and add the unit qualifier in the following format:
    • XXXXXXXXXXX,ML
  5. Click Save.

Then, rebill and resubmit all affected claims. 

 

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