Oncology and Hematology
Published 01/01/2020
Access guidance for submitting oncology and hematology services through the following links.
Reimbursement
Claim Submission and Guidelines
- Discarded Drugs and Biologicals: (PDF, 527 KB) CMS Medicare Claims Processing Manual (Pub. 100-04), Chapter 17, Sections 40 and 100.2.9
- Erythropoeisis Stimulating Agents (ESAs), Reporting Requirements: (PDF, 527 KB) CMS Medicare Claims Processing Manual (Pub. 100-04), Chapter 17, Sections 80.8 (Hemoglobin and Hematocrit) and 80.9 (modifiers)
- General Guidance Regarding Drugs and Biologicals: (PDF, 1.33 MB) CMS Medicare Benefit Policy Manual (Pub. 100-02), Chapter 15, Section 50-50.6