Medicare Claims Processing Manual (Pub. 100-04), Ch. 17 § 80.1.2
HCPCS and NDC Reporting for Prodrugs
80.1.2 - HCPCS and NDC Reporting for Prodrugs
(Rev. 136, 04-09-04)
A/B MAC (A) claims
For oral anti-cancer Prodrugs HCPCS code J8999 is reported with revenue code 0636.
DME MAC claims
The supplier reports the NDC code on the claim. The DME MAC converts the NDC code to a “WW”
HCPCS code for CWF. As new “WW” codes are established for oral anti-cancer drugs they will be
communicated in a Recurring Update Notification.