M70Remark Code (RARC)ActiveInformational Alert
M70 Remark Code - Alert on NDC Code Submission
The M70 alert informs the biller that the National Drug Code (NDC) submitted for a service has been converted to a Healthcare Common Procedure Coding System (HCPCS) code for processing. It emphasizes the importance of continuing to submit the NDC on future claims for this item, even though it has been translated for this instance.
What This Alert Tells You
As an informational alert, the M70 remark does not accompany a specific adjustment or denial. It serves to guide billers on proper coding practices for future claims involving NDCs and HCPCS codes.
Common Scenarios
1A pharmacy submitted a claim for a medication using its NDC, and the remittance advice returned with an M70 alert indicating the NDC was translated to a HCPCS code.
→ The M70 alert indicates that while the NDC was converted for this claim, the pharmacy should continue to use the NDC for future submissions to ensure compliance.
2A hospital billed for a drug administration service and received an M70 alert on the ERA, stating the NDC was processed as a HCPCS code.
→ This means that the payer accepted the NDC but reminds the hospital to consistently include the NDC in future claims to maintain accurate records.
3An outpatient facility filed a claim for an injectable medication, receiving an M70 alert along with the payment details.
→ The alert indicates the NDC was used to derive a HCPCS code for payment, but the facility should keep submitting the NDC for future claims.
What to Do
- Do not take any action regarding this alert, as it is informational only.
- Continue submitting the NDC code on future claims for the item in question.
What to Check
- Review the NDC submitted on the claim to ensure it is accurate and complete.
- Check the HCPCS code that was generated from the NDC to understand the payer's processing.
- Look at previous claims for the same item to confirm the NDC was consistently submitted.