Sending Unclassified Procedure Descriptions

Some procedure codes are designated as NOC (Not Otherwise Classified) or Unclassified procedure codes. These codes refer to a procedure (often times an injection) that applies to a variety of things. In order to process the claim, the carrier will need a few notes about how the procedure was performed or the name and manufacture of the drug, or DME, when NDC information alone is not specific enough.

To add a description to a Paper Claim:

1. Modify the grid columns in the Transaction Entry screen to add the "Description" column
2. The Description field is a free-form text field. Any information entered in this box will display above the charge information on the default paper claim form after the "ZZ" qualifier

To add a description to an Electronic Claim:

1. Select the charge on the Transaction Entry screen
2. Click the Note button at the bottom of the Charge section of the window

1. NOTE: "EDI Notes" are for claim level notes with Revenue Management. Use the "Note" button for individual charge descriptions.
1. Select "EDI: Unclassified Procedure Description" from the Type drop-down selection box.

1. Enter your note in the Documentation/Notes section of the window.
   • If the carrier or code book does not tell you what information to enter in this field, use your own discretion
   • For Injections, enter the name of the drug and the manufacturer
   • For DME, describe the equipment and the manufacturer
2. Click OK to save your note to the transaction description