Packaging and Units for Billing Drugs

May 18th, 2020 - Christine Woolstenhulme, QCC, CMCS, CPC, CMRS
Categories:   HCPCS Coding   Billing   Audits/Auditing   Drugs|Pharmaceuticals|FDA  
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To determine the dosage, size, doses per package and how many billing units are in each package, refer to the NDC number.

Take a look at the following

J1071Injection, testosterone cypionate, 1mg

For example; using NCD # 0009-0085-10 there are 10 doses of 100 mL

(100 mg/mL = 1 mL and there are 10 ml in each vial, and 1 vial in each package), therefore, if each dose is 100 mL, you would bill 10 units to report 1000 mg.

NDC

Drug Name

Dosage Size

Doses per Package

Packages per NDC

Billing Units per package

Billing Units per NDC

Pfizer Inc.

00009-0085-10

Depo-Testosterone

1 MG

10

1

1000

1000

00009-0086-01

Depo-Testosterone

1 MG

1

1

200

200

00009-0086-10

Depo-Testosterone

1 MG

10

1

2000

2000

Notice how the NDC indicates the doses per package with the last two numbers

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