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Some state Medicaid programs also require the drug's NDC (National Drug Code) on the claim for 96372 to be processed, even though this is technically associated with the J-code rather than the administration code
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When a non-covered substance causes the entire claim denial, the ERA usually carries a CO-96 (non-covered charges) code, and the provider absorbs the write-off under the CO group code
10.1111/scd.12685 15 de BenoistB
