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Billing and Coding: Erythropoiesis Stimulating Agents …

    https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleId=56795&LCDId=34633&CptHcpcsCode=j0881
    ICD-10 Codes that Support Medical Necessity: Added Group 11 Paragraph: Myelofibrosis for J0881, J0885 and Q5106, Group 11 Codes C94.40, C94.41, C94.42, D47.1, D47.4 and D75.81. ICD-10 Codes that DO NOT Support Medical Necessity: Added Group …

J0881 - HCPCS Code for Darbepoetin alfa, non-esrd

    https://hcpcs.codes/j-codes/J0881/
    HCPCS Code. J0881. Injection, darbepoetin alfa, 1 microgram (non-esrd use) Drugs administered other than oral method, chemotherapy drugs. J0881 is a valid 2023 HCPCS …

Coding Medical Necessity: Erythropoiesis …

    https://downloads.cms.gov/medicare-coverage-database/lcd_attachments/34107_2/CodingMedicalNecessityJF.pdf
    J0881 or J0885 are: a) "Long-term (current) use" is either of an immunosuppressant following stem cell transplantation or of a medication otherwise usable as and recognized …

LCD - Erythropoiesis Stimulating Agents (ESAs) (L34633)

    https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?LCDId=34633&CptHcpcsCode=j0881
    The use of recombinant human EPO or darbepoetin alfa has resulted in anemia responses (transfusion independence with normal hemoglobin levels, sustained …

Aranesp® (darbepoetin alfa) *NON-DIALYSIS

    https://modahealth.com/pdfs/med_criteria/Aranesp.pdf
    MDS (J0881 only): 500 billable units every 14 days MPN (J0881 only): 300 billable units every 7 days CKD (Non-Dialysis Patients): Initial: 100 billable units every 14 …

Coding Guidelines J0881 ESA - Centers for Medicare

    https://downloads.cms.gov/medicare-coverage-database/lcd_attachments/29168_5/J0881.1_codeguide.htm
    Effective for DOS on or after 1/1/2008, non-ESRD ESA claims for HCPCS J0881 and J0885 billed with modifier EA (ESA, anemia, chemo-induced) for anemia secondary to …

Oncology / Hematology - JE Part B - Noridian

    https://med.noridianmedicare.com/web/jeb/specialties/oncology-hematology
    For the treatment of cancer; drugs, not self-administered, include ESA administration HCPCS codes: J0881 (Darbepoetin Alfa; Aranesp, 1 mcg; non-ESRD use) J0885 …

J0881 | Medical Billing and Coding Forum - AAPC

    https://www.aapc.com/discuss/threads/j0881.40455/
    J0881 | Medical Billing and Coding Forum - AAPC. If this is your first visit, be sure to check out the FAQ & read the forum rules. To view all forums, post or …

Erythropoiesis Stimulating Agents - Medical Clinical …

    https://www.aetna.com/cpb/medical/data/100_199/0195.html
    For precertification of erythropoiesis stimulating agents, call (866) 752-7021 (commerical), or fax (888) 267-3277. For Medicare Part B plans, call (866) 503-0857, or fax (844) 268 …

J0881 and J0885 Are Commonly Reported Codes

    https://medicalcodingnews.org/j0881-and-j0885-are-commonly-reported-codes-master-their-uncommon-requirements/
    Whether you search under medical oncology, hematology, or hematology/oncology, J0881 and J0885 rank first and third on the lists of the top 10 …



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