National Drug Code missing or invalid
The NDC for a drug line is missing, in the wrong format, or no longer active.
Usual causes
- NDC not reported in the 11-digit 5-4-2 format (loop 2410 LIN).
- Unit of measure or quantity missing with the NDC.
- NDC from a package that was discontinued.
The fix
Report the 11-digit NDC from the vial actually used, with the N4 qualifier, unit of measure and quantity, and resubmit.
Appeal or corrected claim?
Corrected claim.
Deadline to watch
Timely filing limit.
Exact limits are in your payer contract or provider manual. When in doubt, send the correction or appeal this week.
M119 in short
What does M119 mean?
The NDC for a drug line is missing, in the wrong format, or no longer active. The official X12 text reads: "Missing/incomplete/invalid/ deactivated/withdrawn National Drug Code (NDC)."
What usually causes a M119 denial?
NDC not reported in the 11-digit 5-4-2 format (loop 2410 LIN). Unit of measure or quantity missing with the NDC. NDC from a package that was discontinued.
How do I fix M119?
Report the 11-digit NDC from the vial actually used, with the N4 qualifier, unit of measure and quantity, and resubmit.
Should I appeal M119 or send a corrected claim?
Corrected claim. Corrected claim.
What deadline applies to M119?
Timely filing limit.