Private Payor: Blue Cross Blue Shield of Texas Announces It Will Accept Billing With National Drug Codes


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Topic Private Payor: Blue Cross Blue Shield of Texas Announces It Will Accept Billing With National Drug Codes
Background In May 2011, Blue Cross Blue Shield of Texas (BCBSTX) announced it will pay claims submitted with a National Drug Code (NDC) in accordance with the schedule posted on the NDC 7website under "Drugs" effective December 1, 2011. The effective date of this change has been postponed until Jan. 1, 2012. BCBSTX currently accepts NDCs for billing of all physician-administered and physician-supplied drugs. BCBSTX says use of the NDC on claims helps it pay more consistently and better manage drug-associated costs.
Regulating Body Blue Cross Blue Shield of Texas
Compliance Date 1/1/2012
Consequences You may not receive the maximum payment if you don’t use the National Drug Codes.
Next Steps 1. Begin including the NDC information on claims as soon as possible. 2. BCBSTX will continue to accept the HCPCS or CPT code elements without NDC information — excluding unlisted or "Not Otherwise Classified" physician-administered and physician-supplied drugs; claims for these drugs must include the NDC.
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