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Medicaid: report the 11-digit NDC, the unit of measure, and the quantity administered Medicare: the NDC is not required on Part B drug claims, but auditors ask for it Commercial payers: rules differ, so check each provider manual before you set a default Placement: the shaded area of box 24A on the CMS-1500, or loop 2410 on the 837 claim file The diagnosis code decides whether J0132 gets paid Every J0132 claim needs a diagnosis that explains why the drug went in
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