Issued by: Centers for Medicare & Medicaid Services (CMS)

Issue Date: March 21, 2019

Program Area: Distributed Data Collection (DDC) for RA Including HCRP/EDGE Server

Question: What is the applicable use of product/Service ID qualifiers on pharmacy claims?

Answer: If the National Drug Code (NDC) exists in the EDGE global reference data, product/Service ID qualifier '02' must be used. For all other valid NDC and UPC codes, pharmacy claims must be submitted with a '01' qualifier.

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