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Important Information Concerning the Medicare Crossover Process and State Medicaid Agency Requirements for National Drug Codes (NDCs) Associated with Physician-Administered Part B Drugs

This MLN Matters® Special Edition (SE) Article is intended for physicians, hospitals, clinics, other providers, their billing vendors or clearinghouses that regularly include line-item billing for physician-administered drugs as part of the claims that they send to Medicare contractors (carriers, Fiscal Intermediaries (FIs), or Medicare Administrative Contractors (MACs)).

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

DISCLAIMER: The contents of this database lack the force and effect of law, except as authorized by law (including Medicare Advantage Rate Announcements and Advance Notices) or as specifically incorporated into a contract. The Department may not cite, use, or rely on any guidance that is not posted on the guidance repository, except to establish historical facts.