Effective July 1, 2020, End Stage Renal Disease (ESRD) Treatment providers (261QE0700X) were added to the list of eligible providers for Procedure Code J0887, Mircera, Injection, Epoetin Beta, 1 Microgram, (FOR ESRD ON DIALYSIS).
For prior approval information on Hematinics, please refer to the NC Medicaid Outpatient Pharmacy Prior Approval Criteria.
For additional information on Dialysis Services, please refer to Clinical Coverage Policy 1A-34.
Contact
NCTracks Contact Center: 800-688-6696