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Thread: ESA billing-J0881

  1. #1

    Default ESA billing-J0881

    AAPC: Back to School
    For the lab requirement of HGB/HCT levels, are we able to use ANY lab results (as long as it is within 30 days of J0881 administration) or are we required to use the most RECENT lab results.

  2. #2
    Join Date
    Apr 2007
    Rome, GA


    We are located in Ga. Cahaba, our Medicare carrier states in their March 2008 newsletter: "Effective January 1, 2008, all claims billing for the administration of an ESA with HCPCS codes J0881, J0882, J0885, J0886 and Q4081 must report the most recent hematocrit or hemoglobin reading.
    Peggy Y, Green, CPC, CPMA, CPC-I, CRC
    "To love what you do and feel that it matters - how could anything be more fun?" Katharine Graham

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