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Technical requirements for Medicare NDC entry: Format: 11-digit NDC in 5-4-2 configuration Electronic claim (837P): enter in Loop 2410, Segment LIN, with qualifier N4 Paper claim (CMS-1500): enter in Box 19 Unit of measure qualifier: UN for units, ML for milliliters, or GR for grams Quantity reported: the actual amount administered, not the full vial size Commercial payer NDC requirements work differently

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Permanent Damage Risk: Research highlights that if treatment for subacute combined degeneration of the spinal cord is delayed for more than 6 to 12 months, the physical nerve damage becomes permanent, and patients may suffer from lifelong mobility and balance issues

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