What diagnosis (ICD-9-CM) codes may be entered (and supported by documentation) when EPO (Q4054 and Q4055) is submitted on an ESRD claim?
Any of the diagnosis codes from 285.0 through 285.9 may be entered on an ESRD claim to support the medical necessity for EPO (Q4054 and Q4055). It is important that documentation be available to suport the diagnosis listed on the claim. The additional documentation is submitted for review when requested via an Additional Development Request (ADR).
Related Questions
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- What diagnosis (ICD-9-CM) codes may be entered (and supported by documentation) when EPO (Q4054 and Q4055) is submitted on an ESRD claim?
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