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US · guidance

CMS Pub. 100-04, ch. 8, § 60.4.4.2

Epoetin Alfa (EPO) Provided in the Hospital Outpatient

activein force · 2026-08-25 – presentas-observed

Departments

(Rev. 2582, Issued: 11-02-12, Effective: 04-01-13, Implementation: 04-01-13)

When ESRD patients come to the hospital for an unscheduled or emergency dialysis

treatment they may also require the administration of EPO. Effective January 1, 2005,

EPO will be paid based on the ASP Pricing File.

Hospitals use type of bill 13X (or 85X for Critical Access Hospitals) and report charges

under the respective revenue code 0634 for EPO less than 10,000 units and revenue code

0635 for EPO over 10,000 units. Hospitals report the drug units based on the units

defined in the HCPCS description. Hospitals do not report value code 68 for units of

EPO. Value code 49 must be reported with the hematocrit value for the hospital

outpatient visits prior to January 1, 2006, and for all claims with dates of service on or

after January 1, 2008.

History

(Rev. 2582, Issued: 11-02-12, Effective: 04-01-13, Implementation: 04-01-13)

Provenance

Source
cms.gov
Retrieved
2026-08-25
Edition
iom-2026-08-25
Content hash
9483a6476611c74399b12c901bf6ac17d453acc00949b6ac120b46b0303da454
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