Section title: Requests for Interpretation
RFI #
1672
Reporting NHRIC's in the 837P
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.

RFI 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/.

DOCUMENT ID
005010X222