Medicare_Claims_Processing_Manual / Chapter_8 / 60.4.2.1

Why This Topic Matters

It helps billing and coding staff understand what supporting information must accompany these claims so they can prepare complete submissions and recognize the type of documentation referenced by the manual.

Article Sections

1. Other Information Required on the Form CMS-1500

   Overview of the supplemental information associated with these claims and how it is handled on paper and in claim review. Introduces the categories of data referenced throughout the section.

2. Diagnoses

   Describes the diagnosis reporting requirement and the coding standard referenced for that information.

3. Hematocrit (HCT)/Hemoglobin (Hgb)

   Explains the laboratory-related information tied to erythropoietin claim reporting and references the associated HCPCS Q-code structure.

4. Units Administered

   Covers how dosage quantities are represented on the claim form and the related reporting fields mentioned in the manual.

5. NOTE: Creatinine and weight identified below are required on EPO claims as applicable.

   Introduces additional supporting data elements that may be required for these claims, including laboratory and patient-specific measurements.