WPS Medicare NOC Code Documentation Form 2015-2025 free printable template

NOC Code Documentation Form Not Otherwise Classified (NOC) CPT codes are used when there is absolutely no existing true code for the service, procedure, drug or biological being provided. Claims utilizing

How to fill out WPS Medicare NOC Code Documentation Form

How to fill out WPS Medicare NOC Code Documentation Form

1. Begin by downloading the WPS Medicare NOC Code Documentation Form from the WPS website.
2. Enter patient information at the top of the form, including the patient's name, date of birth, and Medicare number.
3. Fill in the provider's details in the specified section, including the provider's name, NPI number, and contact information.
4. Carefully read the instructions provided on the form to ensure all sections are addressed.
5. In the section for NOC codes, list the appropriate non-covered codes relevant to the services provided.
6. Provide a detailed description of the services rendered, including dates and any relevant medical necessity information.
7. Attach any supporting documentation that may be required, such as medical records or previous claims.
8. Review the completed form for accuracy and completeness before submitting.
9. Submit the form according to the instructions, either electronically or via mail to the designated WPS address.

Who needs WPS Medicare NOC Code Documentation Form?

1. Healthcare providers who are submitting claims for services that are non-covered by Medicare need the WPS Medicare NOC Code Documentation Form.
2. Providers and facilities that require reimbursement for specific services that may not fall under standard Medicare guidelines.
3. Medical billing professionals who handle submissions on behalf of providers or patients.

People Also Ask about

What is the NOC code for medical billing?

NOC Code 1252 Health information management occupations.

What is the NOC code for J3490?

NOC codes are for “Unclassified drugs” or “Not Otherwise Classified” drugs (J3490) and biologics (J3590).

What is a NOC code 64999?

When billing for auricular peripheral nerve stimulation, use the NOC CPT code 64999 - unlisted procedure, nervous system.

What is J7999 used for?

Bevacizumab (AVASTIN®) - providers should report HCPCS code J7999 (Compounded drug, not otherwise classified) for ophthalmological use, each 1.25mg dose administered is considered one unit. The total dosage administered should be noted in the "Remarks" section of the claim.

What is a NOC not otherwise classified code?

Unlisted or not otherwise classified (NOC) codes are considered appropriate when a CPT/HCPCS code that accurately identifies an item, service or procedure performed does not exist.

What does NOC code mean in medical terms?

These are the Common Procedural Terminology (CPT) and Healthcare Common Procedure Coding System (HCPCS) Codes. Certain services within each code set do not have a code of their own. These are termed "Not Otherwise Classified" (NOC) or "Not Otherwise Specified" (NOS) codes.

For pdfFiller’s FAQs

How can I edit WPS Medicare NOC Code Documentation Form from Google Drive?

Simplify your document workflows and create fillable forms right in Google Drive by integrating pdfFiller with Google Docs. The integration will allow you to create, modify, and eSign documents, including WPS Medicare NOC Code Documentation Form, without leaving Google Drive. Add pdfFiller’s functionalities to Google Drive and manage your paperwork more efficiently on any internet-connected device.

How can I send WPS Medicare NOC Code Documentation Form to be eSigned by others?

When you're ready to share your WPS Medicare NOC Code Documentation Form, you can send it to other people and get the eSigned document back just as quickly. Share your PDF by email, fax, text message, or USPS mail. You can also notarize your PDF on the web. You don't have to leave your account to do this.

How do I fill out the WPS Medicare NOC Code Documentation Form form on my smartphone?

Use the pdfFiller mobile app to fill out and sign WPS Medicare NOC Code Documentation Form on your phone or tablet. Visit our website to learn more about our mobile apps, how they work, and how to get started.

What is WPS Medicare NOC Code Documentation Form?

The WPS Medicare NOC Code Documentation Form is a specific form used to document services and items that do not have a specific code under the Medicare system, known as Not Otherwise Classified (NOC) codes.

Who is required to file WPS Medicare NOC Code Documentation Form?

Healthcare providers and suppliers who submit claims for services or items that fall under NOC codes to Medicare are required to file the WPS Medicare NOC Code Documentation Form.

How to fill out WPS Medicare NOC Code Documentation Form?

To fill out the WPS Medicare NOC Code Documentation Form, individuals need to provide details such as the patient information, the NOC code being used, the description of the service/item, and any supporting documentation that justifies the use of the NOC code.

What is the purpose of WPS Medicare NOC Code Documentation Form?

The purpose of the WPS Medicare NOC Code Documentation Form is to ensure proper documentation and justification for claims submitted to Medicare for services or items that cannot be classified under standard codes, aiding in claims processing and reimbursement.

What information must be reported on WPS Medicare NOC Code Documentation Form?

The information that must be reported on the WPS Medicare NOC Code Documentation Form includes the patient's name and Medicare number, the NOC code, a detailed description of the service/item, date of service, provider's information, and any relevant medical records or documentation.