tci Outpatient Facility Coding Alert - 2017 Issue 7

Reader Question: Preventing Aranesp® Denials

Question: Our hospital outpatient department is seeing an increase in Aranesp®denials. Any ideas on how to prevent them? Answer: You’re not alone. At the American Academy of Professional Coders Healthcon meeting in May 2017, Pam Brooks, MHA, COC, PCS, CPC, Coding Manager at Wenworth-Douglass Hospital in Dover, New Hampshire, gave attendees a heads up on these challenge and suggested ways to address them. HCPCS code J0881 (Aranesp® [non-ESRD]) is sometimes administered to treat anemia (low red blood cell count) in chemotherapy patients. It’s an erythropoiesis stimulating agent (ESA), which means it stimulates bone marrow to produce...

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