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Wiki How to bill for procrit
- Thread starter wlpadgett
- Start date
OCD_coder
True Blue
The first place I would suggest to start is to read the CMS LCD in it's entirety as there are specific diagnosis and modifiers that are needed when Procrit is administered. Or go to your local MAC and see if they have one also. Some commercial carriers have an LCD also that is a little bit different, so double check those too. Without more information it's hard to know why they are not getting paid.
LCD ID
L29168
LCD Title
Erythropoiesis Stimulating Agents
LCD ID
L29168
LCD Title
Erythropoiesis Stimulating Agents
mitchellde
True Blue
I agree that more information is needed to be able able to assist you better. How is it being billed and what does the denial state? Is the denial always the same?, are all the claims billed the same way?