Back to Insights and Updates for ProvidersJune 2023

Code update for injectable drugs

Tufts Health Plan MCO/ACO  |  Tufts Health Unify

Effective for dates of service beginning Aug. 1, 2023, J-codes for injectable drugs will deny when submitted for Tufts Health Unify and Tufts Health Plan MCO/ACO claims without an accompanying quantity, appropriate National Drug Code (NDC) number, and unit of measurement code.

This is in accordance with criteria from the Executive Office of Health and Human Services and consistent with industry standard correct coding.

Audrey Kleinberg,
Director, Provider Relations & Communications

Annmarie Dadoly,
Senior Manager, Provider Communications

Joseph O’Riordan, Jesse Salvato, Stephen Wong,

Kristin Edmonston,
Production Coordinator

Kristina Cicelova,
Graphic Designer