Wiki IV Iron infusion

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kathyle

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Lately, we had lot of denials from Medicare when billing IV iron as not coverage under patient dx. For years, we always bill with 280.9 and 995.20. Recently, i called medicare, they stated Medicare only pay for IV iron when pt has either chronic kidney disease. Has anyone run into this problem.
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We usually use 280.8 or 280.9 stand alone and have never had an issue. My guess is the adverse effect code is the hang-up, not sure why that code would be attached to an IV iron infusion.

There could also have been a change with your carrier in regard to dx requirements, but they should have it posted on their LCD if there was.
 
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