Multiple states (FL and soon WI & PA with others anticipated)(Florida’s statute reference is 440.13(12)(c)) are requiring that physicians report the repackaged drug NDC as well as the original package NDC when a physician repackages a drug for in office dispensing. These regulations are specific to Workers Compensation bills/claims. While the 837P supports reporting the repackaged (actually dispensed) DRG in the 2410 loop LIN segment, we are unable to also report the original package DRG. Per the 2400 loop K3 segment notes, we are requesting permission and technical guidance for use of the K3 segment to carry the original NDC number.

If the WG approves this usage of the K3, it could look something like this:

K3*FLWC440.13(12)(c)-Original NDC = XXXXXXXXXXX~

TGB/WG2 decision:

At the January Standing Meeting TGB/WG2 has approved the use of K3 with the following format:

K3*ORIGN4XXXXXXXXXX~

Vote passed with no disapproves, and 5 abstentions