CommercialBilling CodesHigh impact
NDC numbers required on claims effective July 1, 2022
Blue Cross Blue Shield of Rhode Island·RI·Provider Update
Effective date
Jul 1, 2022
We identified it
Jun 19, 2026
Summary
BCBSRI now requires 11-digit National Drug Code (NDC) numbers on all claims with drug HCPC/CPT codes effective July 1, 2022. Claims without valid NDC numbers will be denied or rejected entirely, including coordination of benefits claims where BCBSRI is secondary.
Action Required
By July 1, 2022: Billing team must update all claims with drug HCPC/CPT codes to include valid 11-digit NDC numbers. Update billing software to require NDC entry for all drug-related procedures. Train staff that incomplete or missing NDC numbers will cause entire claim denials. For coordination of benefits cases where BCBSRI is secondary, ensure NDC codes are included even if primary carrier doesn't require them.