Awareness : OBC Tips

National Clinical Trial (NCT) Identifier Numbers on Medicare Claims

Do all services to a patient who is in a clinical trial need to be submitted with the NCT number, or only specifically those services that are part of the trial? Or do you include all services related to the condition (diagnosis) that is part of the clinical trial?

Only those services that are part of the clinical trial, including routine care for the condition in the clinical trial, need to be submitted with an NCT identifier number on a Medicare claim related to the clinical trial. In other words, if the patient falls and breaks their leg and happens to be participating in a trial, they would not report the NCT identifier number on the claim for the broken leg.