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US · guidance

CMS Pub. 100-04, ch. 17, § 70.1.1

Reporting Modifiers in the Compound Drug Segment

activein force · 2026-08-25 – presentas-observed

Certain informational modifiers are required on compound ingredients. The NCPDP format does not

currently support reporting modifiers in the compound segment. Therefore, the narrative portion in the

prior authorization segment must be used to report these modifiers. The following must be entered in

positions 001-003 of the narrative (Example, MMN or MNF). Starting at position 355, indicate the

two-byte ingredient number followed by the two-position modifier:

MMN - Indicates that the Supporting documentation that follows is Medicare modifier information and

CMN information or DIF information

MNA - Indicates that the Supporting documentation that follows is Medicare modifier information,

CMN information or DIF information and narrative information

MFA - Indicates that the Supporting documentation that follows is Medicare modifier information,

CMN information or DIF information and Facility Name and Address

MNF - Indicates that the Supporting documentation that follows is Medicare modifier information,

CMN information or DIF information, narrative information and Facility Name and Address

MAC - Indicates that the Supporting documentation that follows is Medicare modifier information and

Facility Name and Address

MAN - Indicates that the Supporting documentation that follows is Medicare modifier information,

narrative information and Facility Name and Address

MAR - Indicates that the Supporting documentation that follows is Medicare modifier information and

narrative information

History

(Rev. 1, 10-01-03)

Provenance

Source
cms.gov
Retrieved
2026-08-25
Edition
iom-2026-08-25
Content hash
5cf9195f5f4eac4a8f7be9daec21253f2ff3375dd7603000b7f1f38eb604a2ab
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