If providers bill for medical supplies that do not have a UPN, should providers bill using the Pharmacy Claim Form (30-1) or change to the CMS-1500 claim form?
All claims billed with HCPCS Level II codes must be entered on the CMS-1500 claim form or transmitted in the ASC X12N 837P 4010A1 electronic format. Pharmacies billing with local “99” codes may also continue billing these codes during the April 1 through June 30, 2009 transition period using the Pharmacy Claim Form (30-1) or the NCPDP 1.1 batch transaction. Please review the Medical Supplies TARs and SARs: Transition to HCPCS Level II Codes for details.