Question Aranesp J0881

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When coding for Anemia of CKD, what is the correct order to bill Medicare. The Anemia (D63.1) primary or the CKD (N18.4) primary? We have been told by our billing department that the Anemia of CKD D63.1 is a manifestation code and can not be billed as a primary code. I just want some thoughts on this please.
 
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When coding for Anemia of CKD, what is the correct order to bill Medicare. The Anemia (D63.1) primary or the CKD (N18.4) primary? We have been told by our billing department that the Anemia of CKD D63.1 is a manifestation code and can not be billed as a primary code. I just want some thoughts on this please.


Hello, see note under D63.1
CKD should be primary diagnosis
 

wisibyusha

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Your billing departments are correct; when a patient presents with anemia due to CKD, even when the treatment targets only anemia, your PDx will be the underlying condition which is CKD. The coding convention in the tabular list takes the precedence.
 
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