Does anyone have some insight they would like to share concerning how epoetin
billing is handled. I know that there are two J-Codes associated with the
drug, one for ESRD and one for Non-ESRD. As the code is based on diagnosis
and as diagnosis and J-Codes can not be modified on the PHA side, I'm not
sure how this can be handled. Is there a rule out there that selects the code
based on diagnosis? 
 
Thanks
Bob
 
Robert Brennan RPh
St Joseph Health Services of  Rhode Island
Department of Pharmacy
200 High Service Ave
N. Providence, RI 02904
(401) 456-3522
 

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