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Need help

  1. #1
    Default Need help
    Medical Coding Books
    The Hcpcs Code Q0138 is being denied for the reason that relative Dx code is missing even though I used one Dx code of D50.
    Then I did google to find out where I am wrong. One of website says this hcpcs code requires two dx code to be paid and they gave reference of one website but that website says about ICD 9 condition.
    Does this condition of using two dx codes still apply with this hcpcs code or not. Any comments or reference please, thanks

  2. Default
    You will need to use two dx codes. They should reflect the type of anemia the patient has and the level of chronic kidney failure.

    Here is a sample from UHC:

    https://www.unitedhealthcareonline.com/ccmcontent/ProviderII/UHC/en-US/Main%20Menu/Tools%20&%20Resources/Policies%20and%20Protocols/Medicare%20Advantage%20Policy%20Guidelines/Intravenous_Iron_Therapy.pdf

  3. #3
    Default
    Quote Originally Posted by michellepilcher View Post
    You will need to use two dx codes. They should reflect the type of anemia the patient has and the level of chronic kidney failure.

    Here is a sample from UHC:

    https://www.unitedhealthcareonline.com/ccmcontent/ProviderII/UHC/en-US/Main%20Menu/Tools%20&%20Resources/Policies%20and%20Protocols/Medicare%20Advantage%20Policy%20Guidelines/Intravenous_Iron_Therapy.pdf

    sincere thanks for your time!

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