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NDC code [] is invalid. Procedure code <CPT> NDC code [] must be 11 digits

Updated: 10/22/2020
Views: 3706

Rejection Message

NDC code [] is invalid. Procedure code <CPT> NDC code [] must be 11 digits.
Edit the procedure code under Settings > Codes > Find Procedure.
Find procedure code 'CPT' and edit the NDC and make sure it has 11 digits. Dashes (-) are ignored.

Rejection Details

Kareo Validation Error
This rejection indicates the claim includes a procedure (CPT/HCPCS) code with an National Drug Code (NDC) number in the incorrect format.
Note: Since claims rejected within Kareo are not forwarded to the clearinghouse, timely filing cannot be generated for the submission until validation errors have been corrected and the claim resubmitted.

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, update the NDC Number to the correct 11-digit format (excluding hyphens).
    • If required by the payer, enter additional drug information related to the NDC number.
      Note: When unsure, contact the payer to verify the required drug information to prevent further claim rejections.
      • Click the drop-down arrow and select the appropriate Unit of measure.
        Note: The MCG and MG qualifiers are only accepted on paper claims. 
      • Enter the Unit count.
  3. Click Save.

Then, rebill and resubmit all affected claims.

EditProcedure_NDCNumber.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 NDC column of the Procedures section, update the NDC number to the correct 11-digit format (excluding hyphens).
    • If the NDC column is not displayed, customize the Procedures section to add the NDC column.
    • If required by the payer, update or enter additional drug information related to the NDC number. 
      Note: When unsure, contact the payer to verify the required drug information to prevent further claim rejections.
      • UC: Enter the unit count (e.g., if 1 vial is 1 mL, the UC is 1).
      • UM: Enter the unit of measure (e.g., if 1 vial is 1 mL, the UM is ML).
        Note: The MCG and MG qualifiers are only accepted on paper claims. 
  3. Click Save.

Then, rebill and resubmit all affected claims.

EditEncounter_Procedures_NDC.png