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Back  RFI # 426: SVD segment when code is NDC

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Submitter

Krupla David

Description

When a claim adjudicated by another payer is sent on to the secondary payer, and the claim was an NDC item, how should the SVD segment in Loop 2430 (specifically Element 3, Composites 1 and 2) report that?

Submitter Assigned Keywords

SVD NDC

Response

The SVD segment in Loop ID-2430 can not carry the NDC code, that is not a valid value in the SVD03-1. When an NDC code is returned in the SVC01 of an 835 Remittance transaction, that NDC value must be reported in the LIN segment of the secondary claim, and the corresponding HCPCS J-code should be reported in the SVD03.
Submission 7/17/2006
Status Date 9/8/2006
Status F - Final
Primary References
Document 004010X098A1
Section3.1?
Page80
Set ID837P
Loop2430
Segment Position540?
Segment IDSVD
Element Position3
Component Position1