We are looking for efficiencies with vaccine and injection documentation and billing. eCW allows us to add the drug CPT, CVX code, and Administration CPT into the build of the drug. The only way to not throw an error with the claim is to attach the drug NDC code to the administration CPT code. Our billing department has indicated this is not appropriate and the claims will be rejected because the 90471 or 90472 CPTs are not drugs and they should not have NDC codes. With the administration codes being unique for every COVID vaccine this would be a significant improvement of efficiency if it actually worked correctly.
Currently if we add the administration code to the drug the claim error is “ANSI 5010: Drug quantity (CTP segment) is mandatory in Drug Identification Loop (2410). Please make sure the NDC units is entered properly for the procedure code 90471”
eCW answer to this is to turn on the item key EnableNDCForAdminCPT. This will correct the error but will in turn attach the NDC to the admin cpt.
I have been told by eCW the only option is to manually enter the CPT code for all injections and immunizations. Does anyone add the administration codes to the immunizations/injections and allow the claim to go out with an NDC attached to the administration CPT code? For the last several years we have to add the administration codes for every immunization and injection manually or with a template.
eCW DO NOT CALL ME. I’ve entered my 2nd ticket (11197883) in the last two years regarding the same issue and I received the same response. I would like to hear from my peers due to having issues with missed administration CPT code charges.