Unlisted and Not Otherwise Classified Procedure Codes (NOC)
IMPORTANT: Palmetto GBA will not be requesting any required documentation to process services.
- Do not file unlisted or NOC codes for procedures (i.e., surgical) when there is an appropriate CPT code
- Do not file unlisted or NOC codes for procedures (i.e., surgical) without indicating a description of the service being provided for payment
Electronic Claims: The description of the service MUST be submitted in Loop 2300/Elem SV101-7 or Loop 2400/ELEM SV101-7. No description entered in one of the two will result in the service being rejected. Additional information can be submitted in any of the Loop/Elements:
- Loop 2300, NTE, 02
- Loop 2400, NTE, 02
Paper Claims: When submitting an unlisted or NOC for paper claims, the description of the service must be indicated in the following:
- Block 19
- Attachment - if submitting an attachment, please indicate in Block 19 what is being attached (i.e. Operative Report attached, office notes, etc.)
- If a description of the service is not submitted, the service will be denied
Additional Documentation Submission: When additional documentation is required for the submission of the NOC services, please refer to the Submitting Additional Documentation article located on Palmetto GBA’s website.