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Billing Tips: Outpatient Services

October 6, 2017

When billing for injections and infusions, providers must use the appropriate HCPCS codes with matching packet sizes (including the invoice, if applicable). Otherwise, claims may be denied with Remittance Advice Details (RAD) code 9898: HCPCS Qualifier and NDC (National Drug Code)/UPN (Universal Product Number) is invalid. Please follow the billing guidelines located in the appropriate part 2 provider manual.