1, 2011, claims submitted without NDCs and related information, as required, will no longer be accepted. 1, 2011, claims must include the NDC and related information (qualifier, unit of measure, number of units, price per unit), along with the appropriate HCPCS or CPT code. The above postponement was announced in the News and Updates section of our Provider website on July 12, 2011, and we are moving forward, as planned, with implementation of NDC pricing. For this reason, we postponed implementation of NDC pricing until Sept. However, while working collaboratively with providers and electronic trading partners (billing services and clearinghouses), we understood that more time was needed to prepare in some situations, prior to transitioning to the use of NDCs. Previously, we announced that NDCs would be required effective July 1, 2011, for drugs administered in physician offices and billed on professional claims.
Since October 2010, Blue Cross and Blue Shield of Illinois (BCBSIL) has required that all home infusion/specialty pharmacy drugs be billed with the appropriate National Drug Code (NDC) and NDC-related information (qualifier, unit of measure, number of units, price per unit), in addition to the applicable Healthcare Common Procedure Coding System (HCPCS) or Current Procedural Terminology (CPT®) code(s) on professional claims.
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