Table 6 - Aranesp vs. EPO New Codes & Fees  

 

2004

2004

 

 

 

 

OP Hosp

Phys

HCPCS

Drug

Dose

 

Pmt

Pmt

J0880

Non-ESRD Aranesp/Darbepoetin Alfa

5 mcg

 

   not avail

   $21.20

Q0137

Non-ESRD Aranesp/Darbepoetin Alfa

1 mcg

 

$3.88

$4.24

 

     Non-ESRD Aranesp hosp code C1774 deleted (with grace period)  

Q0136

Non-ESRD Epoetin Alfa

1000 U

 

$11.76

$11.62

 

 

 

 

 

 

Q4054

ESRD Aranesp/Darbepoetin Alfa

1 mcg

*

   not avail

$4.24

Q4055

ESRD Epoetin Alfa

1000 U

*

   not avail

$11.62

 

      ESRD EPO codes Q9920-Q9940 deleted in 2004                               

*                 hct required

 

Note:  With implementation of Medicare’s Single Drug Pricer, the same amount is now paid for drugs nationwide to physicians.

 

Sources updated 1/10/2004