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If initiating hemoglobin levels below 10; maintaining levels between 10-12, will it be covered?

April 26, 2017Covered Hemoglobin initiating levels maintaining

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If initiating hemoglobin levels below 10; maintaining levels between 10-12, will it be covered?

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It depends on the indications. Please refer to the following: References: CMS Publication, IOM 100-03, Medicare National Coverage Determinations (NCD) Manual, Transmittal No. 80, Change Request #5818, January 14, 2008, describes the NCD for the use of ESAs in Cancer and Related Neoplastic Conditions.