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Oncology & Hematology Coding Alert

ESA Coding:

J0881 and J0885 Are Commonly Reported Codes -- Master Their Uncommon Requirements

Published on Fri Jun 10, 2011

Modifiers and test results are among the 'instant denial' triggers for these codes.Whether you search under medical oncology, hematology, or hematology/oncology, J0881 and J0885 rank first and third on the lists of the top 10 codes reported to th CMS database (2009).These J-codes for erythropoiesis stimulating agents (ESAs) carry a heavy load of very specific reporting requirements and volatile reimbursement rates. To be sure your claims for these frequently reported codes are as clean and accurate as possible, apply the tips below.Learn more: These recently available top 10 rankings are listed in a file posted by Frank Cohen, MPA, principal and Senior Analyst for The Frank Cohen Group. Choose the link for "Top 10 procedure codes by frequency for all specialties" at www.frankcohen.com/html/access.html. To see what other codes fall on those lists, see the Table on page 44.Warm Up With Code and ESA DefinitionsThe HCPCS codes in focus are [...]
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