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Rejected for Invalid Information NDC Number

Updated: 05/05/2025|Views: 17234

Rejection Message

REJECTED FOR INVALID INFORMATION NDC NUMBER. NDC NUMBER. NDC NUMBER

Rejection Details

This rejection indicates the claim includes a procedure (CPT/HCPCS) code with an invalid National Drug Code (NDC) number.

Resolution

Follow the steps below to edit the National Drug Code (NDC) number in the Encounter record:

  1. Click Encounters > Track Claim Status. The Find Claim window opens.
  2. Look for and double click the appropriate claim to open. The Edit Claim window opens.
  3. Double click the Encounter ID number. The Edit Encounter window opens.
  4. Under the NDC column of the Procedures section, update the NDC number to the correct 11-digit number (excluding hyphens).
    • If the NDC column is not displayed, customize the Procedures section to add the NDC column.
    • If required by the payer, update or enter additional drug information related to the NDC number.
      Note: When unsure, contact the payer to verify the required drug information to prevent further claim rejections.
      • UC: The unit count (e.g., if 1 vial is 1 mL, the UC is 1).
      • UM: The unit of measure (e.g., if 1 vial is 1 mL, the UM is ML).
        Note: The MCG and MG qualifiers are only accepted on paper claims.
  5. Click Save & Rebill. Then, resubmit all affected claims when ready.
EditEncounter_Procedures_NDCNumber.png
  • If the National Drug Code (NDC) number was entered in the Procedure record and needs to be edited, follow the steps below:
    Note: Existing encounters with the procedure are not automatically updated when changes are made to the Procedure record. The changes are only applied when using the procedure moving forward.
  1. Find the procedure and double click to open. The Edit Procedure window opens.
  2. Under the Drug Information section, update the NDC Number to the correct 11-digit number (excluding hyphens).
    • If required by the payer, update or enter additional drug information related to the NDC number.
      Note: When unsure, contact the payer to verify the required drug information to prevent further claim rejections.
      • Unit of measure: Click the drop-down arrow and select the appropriate unit of measure.
        Note: The MCG and MG qualifiers are only accepted on paper claims.
      • Unit count: Enter the unit count.
  3. Click Save. Log out and back into the Desktop Application (PM) to see the changes when using the procedure.
EditProcedure_DrugInfo_NDCNumber.png

 

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