Date

The submission of a National Drug Code (NDC) is not required for 340B providers on outpatient hospital claims; however, MO HealthNet prefers claims be submitted with a valid Healthcare Common Procedure Coding System (HCPCS) procedure code and a valid NDC. A valid NDC and/or a valid HCPCS procedure code (not a dump code) must be billed for each medication for MO HealthNet to identify drugs dispensed. For drugs without a valid HCPCS procedure code, revenue code 0250 "General Classification: Pharmacy” should be used with the appropriate NDC. A critical component to submitting claims with an NDC is to ensure that the appropriate HCPCS procedure code is billed with each NDC. To ensure accurate billing of drug charges, MHD will use the Noridian Crosswalk https://www.dmepdac.com/ to determine whether the appropriate HCPCS procedure code is billed for the submitted NDC. If the NDC submitted is not valid for the HCPCS procedure code submitted claims will deny.