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Billing Codes
- The Healthcare Common Procedural Coding System (HCPCS) codes are utilized by Medicare and many state Medicaid programs for billing purposes.
- Medicare Allowable Rates are established by HCPCS category for Medicare Part B reimbursement.
- NDC-format codes - Nutrition products do have NDC-format codes assigned to them. These codes are not National Drug Codes (NDCs) as our products are not drugs. NDC-format codes are assigned to our products and sometimes used by payors for billing.
In this section, you can find helpful codes for the entire Abbott Nutrition product line. For purposes of reimbursement, the product lines have been divided into four categories:
The products are listed in alphabetical order by product name and include the Abbott Nutrition product code along with the flavor, unit size, and case size.
A chart listing the 2008 HCPCS Codes and Medicare Allowable Rates for Abbott Nutrition Enteral Formulas and Devices is attached below.
2008 Rates and Codes.pdf
You can also find HCPCS codes and rates for all nutritional products at the Medicare SADMERC site: http://www3.palmettogba.com/dmecs/do/productsearch
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