October 2019
Access Billing Resources for National Drug Codes (NDCs) on Our Provider Homepage
We have resources to assist you with NDC billing on our secure provider portal, Blue Access for ProvidersSM. To register or log on, look for the National Drug Codes (NDCs): Billing Resources box on the homepage of the Blue Cross and Blue Shield of Illinois (BCBSIL) Provider website. Within Blue Access for Providers, you will find:
- NDC Units Calculator Tool, which was recently updated. This tool helps convert applicable classified, specified Healthcare Common Procedure Coding System (HCPCS), or Current Procedural Terminology (CPT®) units to NDC units. You may search information for drug products by HCPCS/CPT code, by NDC code and/or by drug name.
- NDC Fee Schedule, which is updated monthly. You can view, print and download the fee schedule in an Excel format.
Several resources are also posted on our public Provider website. Look in the Related Resources section on the Claim Submission page for NDC Billing Guidelines, NDC Billing FAQs and an NDC Billing Update for Medicare Advantage Claims.
CPT copyright 2018 American Medical Association (AMA). All rights reserved. CPT is a registered trademark of the AMA
The material presented here is for informational/educational purposes only, is not intended to be medical advice or a definitive source for coding claims and is not a substitute for the independent medical judgment of a physician or other health care provider. Health care providers are encouraged to exercise their own independent medical judgment based upon their evaluation of their patients’ conditions and all available information, and to submit claims using the most appropriate code(s) based upon the medical record documentation and coding guidelines and reference materials. References to other third-party sources or organizations are not a representation, warranty or endorsement of such organization. Any questions regarding those organizations should be addressed to them directly. The fact that a service or treatment is described in this material is not a guarantee that the service or treatment is a covered benefit and members should refer to their certificate of coverage for more details, including benefits, limitations and exclusions. Regardless of benefits, the final decision about any service or treatment is between the member and their health care provider.