jonestonya324
New
Is it ok to code D63.1 (Anemia of CKD) as the primary and N18.4 as the secondary on a Medicare claim for Aranesp?
When I look up the medication on the internet, it shows that it is meant to treat anemia and CKD, so I would assume that Medicare would cover that. But the only way to be sure is to check the Medicare Fee Schedule.Is it ok to code D63.1 (Anemia of CKD) as the primary and N18.4 as the secondary on a Medicare claim for Aranesp?
Is it ok to code D63.1 (Anemia of CKD) as the primary and N18.4 as the secondary on a Medicare claim for Aranesp?
Thank you! Where do you find the LCD for payer specific? I have been having trouble pulling up all of them, recently.It's going to depend on payer guidelines. Look for coverage indications in the LCD and review those; don't go just by the listed ICD-10 codes. Our MAC requires level 3 CKD or higher before they will cover Aranesp and they spell out the coverage guidelines pretty clearly in the LCD.