Who is your Medicare carrier? I suggest checking out their LCD if they have one. Ours (Noridian) is very specific about tx w/Aranesp or ProCrit, that ESA treatment is excluded where there is a current anemia resulting from iron, folate, and/or B-12 deficiency - they are quoting the NCD here. ICD9 codes 281.0 - 281.9 should not appear on a claim for a patient receivig ESA therapy when these conditions [U]do not underlie and/or are not responsible for the current anemia.[U] So, if the iron deficiency anemia is the reason for the treatment, Medicare will not cover it. Only if the iron deficieny is resolved, or is the result of the ESA therapy (code V58.69) would it be covered.
Again, go through the NCD and your LCD if there is one very, very carefully. Request assistance from the provider concerning if this was underlying iron deficiency or was the iron deficiency caused by the ESA therapy.
I hope this helps somewhat.
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