Clinical Trials
The 8-Digit Registry Number is required on Clinical Trial Claims. The Registry Number will be placed differently depending if the Claim is Institutional or Professional.
- Institutional Claims
- The 8-Digit number Clinical Trial number should be placed in the value amount of value code D4 on the Paper Claim UB-40 (Form Locators 39-41) or in Loop 2300.
- Professional Claims
- Paper Form CMS-1500: Preceded by CT and placed in Field 19.
- Electronic: Entered without the CT prefix in Loop 2300 REF02 (REF04 = P4).
- This is driven by the Case on the Encounter.
- Select NCT as the Case Type to add the Qualifier P4.
- Add the Clinical Trial number as the Authorization Number on the Case.
Add the Case Type (NCT)
- On the Add/Modify Case Screen, select Manage in the Type dropdown.
- In the Lookup Items popup, select Add.
- Enter NCT in the Code field.
- Select Save [F2].
- In the Type dropdown, select NCT.
After the Case Type has been selected, complete the Case as normal.
Learn More
- http://clinicaltrials.gov/ (external link)
- https://www.cms.gov/medicare/coverage/approved-facilities-trials-registries/clinical-policies (external link)
- https://www.hhs.gov/guidance/sites/default/files/hhs-guidance-documents/MM8401.pdf (external link)