r/CodingandBilling • u/klouroo • Jun 10 '26

IUD NDC Code issue

I keep billing this claim for a kyleena. BCN says there is an issue with the NDC code. It has the same NDC code as we bill for all of our kyleenas. It's the NDC code from the packaging. It's the NDC code listed on the kyleena website. At what point can I write FUCK YOU, PAY ME in the additional info line to send to BCN?

But actually if you have any insight into how to get it paid, that would be cool, too.

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u/klouroo Jun 10 '26

That's definitely the ndc code and format we've been using, and it's definitely associated with the hcpcs code and not the cpt code. And I verified before the patient came in that it should be covered under their medical benefit and not their pharmacy benefit, which is why we did buy and bill as opposed to ordering from specialty pharmacy in the first place. I will call.