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Back  RFI # 1672: Reporting NHRIC's in the 837P

Formal vs. Informal Help Informal Formal

Submitter

Holly George

Description

NHRIC's - National Health Related Items Codes - Are assigned to Medical Devices by the FDA. They are different from NDC codes.

With HCPCS code J7321, some payers are looking for the NHRIC code (08363-7761-01 for this example) which they are mistaking for an NDC code. We are experiencing this same issue with other medical devices which are typically injections used for orthotic purposes.

How can this be reported in the 837P 5010? I did not find a segment for this code and it can not be sent in the 2410 loop LIN segment because these codes are not listed in code set 240 for NDC codes.

Submitter Assigned Keywords

Reporting NHRIC - National Health Related Items Codes in the 837P transaction.

Response

National Health Related Items Codes are not currently supported in the 837 professional claim, version 5010. The ASC X12 837 workgroup recommends that if there is a business need to report this information that it be submitted through the DSMO process at http://www.hipaa-dsmo.org/.
Submission 8/28/2012
Status Date 10/30/2012
Status F - Final
Primary References
Document 005010X222
Section
Set ID837
Loop2410
Segment IDLIN