We have run into the same thing. Our patients are receiving aranesp for anemia due to chronic renal insufficiency. We code 285.21 and 585.9, submit the hgb and the modifier. The claims are still denied. Appeals have been sent and denied yet again. Some of the patients have received iron, but not all. How can we get reimbursed? And since the medicare carrier stated they were not suppose to be sending out notification letters anymore stating the denials, how are we suppose to know the claims were denied?

Please HELP..