On or after January 30, 2009, claims submitted with physician-administered prescription drug procedure codes will require only “N4” (the NDC X12 qualifier) and the11-digit NDC number.
Providers who choose to continue submitting the NDC unit of quantity and the NDC unit of measurement codes must submit both codes. Claims submitted with only one of the two codes will be rejected or denied.
For more information, call the TMHP Contact Center at 1-800-925-9126 or the CSHCN Services Program Contact Center at 1-800-568-2413.