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When iron levels drop, the patient becomes iron deficient and is treated with venofer. Why is this denied?

April 26, 2017deficient Denied drop iron levels patient treated venofer

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When iron levels drop, the patient becomes iron deficient and is treated with venofer. Why is this denied?

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Iron deficiency is not a covered diagnosis for ESA. Reference: 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.