MedicaidDocumentationMedium impact
Reporting National Drug Code (NDC)/Quantity when billing revenue code 0636
Maryland Medicaid·MD·Provider Transmittal
We identified it
Jun 20, 2026
Summary
Healthcare providers must now report National Drug Code (NDC) numbers and quantities when billing revenue code 0636. This affects institutional billing for drugs and pharmaceuticals requiring specific drug identification and dosage reporting.
Action Required
Immediately: Billing team must update institutional billing procedures to include NDC numbers and drug quantities for all claims using revenue code 0636. Update billing software to require NDC and quantity fields for revenue code 0636. Train staff on proper NDC lookup and quantity calculation. Claims missing NDC/quantity information may be denied or delayed.