J9190 Package Insert

[Cristhian Cinq-Mars]

TheNational Drug Code is a unique 10-digit, three-segment number. It is a universal product identifier for human drugs in the United States. The code is present on all nonprescription (over-the-counter) and prescription medication packages and inserts in the United States.

NDC numbers are listed on drug packaging in 10-digit format. The NDC number is essential for proper claim processing when submitting claims for drugs. However, to be recognized by payers, it must be converted to an 11-digit 5-4-2 sequence. This requires a zero to be placed the preceding position of the sequence to meet the 5-4-2 format requirement. As not all NDC numbers are set up the same, the table below provides examples of the appropriate conversion.

Note: While many practice management systems automatically remove the hyphens, be sure they are excluded from submission on the claim.

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