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In alignment with Centers for Medicare & Medicaid Services (CMS) requirements, we recommend that the following information be included in the designated fields on drug-related medical claims: Applicable HCPCS or Current Procedural Terminology (CPT) codes Number of HCPCS or CPT code units 11-digit NDC, including the N4 qualifier Dosage unit of measurement (F2, GR, ML, or UN) Number of NDC units administered/dispensed (must be greater than 0) NDC coding applies to claims for outpatient services billed with: CMS-1500 for providers UB-04 for hospitals and facilities Electronic data interchange (EDI) 837 Note: This does not affect hospital or facility inpatient claims

13 Future savings provided by ACI could include avoiding multiple debridement and microfracture procedures on the same cartilage lesion and the need for a total joint replacement early in life and a subsequent revision TKA

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