Shelly7169
Contributor
I need clarification. On reviewing the NCD and LCD for ESAs (aranesp/procrit) I am very confused when it comes to the diagnoses and what has to be reported. We have several nephrology patients that are being treated for Iron Deficiency Anemia and also have anemia due to chronic Kidney Disease.
The pt's are NOT receiving the ESA's for the Iron Deficiency Anemia, but for the Anemia due to Chronic Kidney Disease.
Normally, we would not code a condition that is not being treated at that encounter. In the past, we would treat the pt's iron deficiency anemia with an infusion on one day and then another day would administer the ESA injection.
From what I am reading....does Medicare require the iron deficiency anemia be listed on the claim for the Aranesp or Procrit just because they have it as an active diagnosis, even if it is not being treated that day? We are confused in my office and need clarification.
What are your thoughts? How do you handle this in your office?
Thank you,
Shelly Noll, CPC
Rockwood Clinic
534 E. Spokane Falls Blvd. #300
Spokane, WA 99202
(509) 342-3646
The pt's are NOT receiving the ESA's for the Iron Deficiency Anemia, but for the Anemia due to Chronic Kidney Disease.
Normally, we would not code a condition that is not being treated at that encounter. In the past, we would treat the pt's iron deficiency anemia with an infusion on one day and then another day would administer the ESA injection.
From what I am reading....does Medicare require the iron deficiency anemia be listed on the claim for the Aranesp or Procrit just because they have it as an active diagnosis, even if it is not being treated that day? We are confused in my office and need clarification.
What are your thoughts? How do you handle this in your office?
Thank you,
Shelly Noll, CPC
Rockwood Clinic
534 E. Spokane Falls Blvd. #300
Spokane, WA 99202
(509) 342-3646