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PAP243 - Home IV Therapy Billing - Added clarification on NDC requirements

Blue Cross of Idaho·ID·Reimbursement
Effective date
Oct 1, 2024
We identified it
Jun 19, 2026
Days to comply

Summary

Blue Cross of Idaho clarified that all medical drug codes for IV therapy billing now require both an NDC number and narrative pharmaceutical description when submitting claims. Claims submitted without NDCs may be denied and require correction.

Action Required

Action needed
Immediately: Billing team must update IV therapy claim submission process to include both NDC numbers and narrative pharmaceutical descriptions for all medical drug codes. Update billing software to flag missing NDCs before claim submission. Train staff that claims without NDCs will be denied and require resubmission with corrections.