Forum - Questions & Answers
Treatment for Iron Defiency Anemia
What is an alternative treatment option for iron defiency anemias that will be reimbursed when patient does not have any evidence of kidney failure?
B-12
B-12 injections. You bill the administration code and the units of B-12. The reimbursement is minimal though.
But I am thinking this is a clinical question? what would a physician suggest as a treatment?
B12? no!
the patient is iron deficient and needs iron. B12 treats a totally different type of anemia. I do not give iron IV but the hospital infusion center and the local oncologists give it so it is reimbursed. If you are asking about the injectible erythopoietin stimulating agents, like Procrit or Aranesp, they are used to treat the anemia of chronic disease that accompanies chronic kidney disease and cancer and not iron deficiency anemia.
As to alternative treatment options for iron deficiency, oral iron is still the best, most cost-effective way to restore iron. I have found giving liquid iron, Fer-in-sol liquid is available OTC and works great.
B-12
Actually I think the doc I used to do billing for did these B-12 injections because of the fatigue associated with iron deficiency anemia. At that time, fatigue was a covered dx for B-12 injections and maybe he did them inappropriately. I am not sure because I am not a doctor so it is good to have your input.
Thank you
Ah, the wonderful placebo effect!
I heard stories about B12 shots for fatigue- the old people loved it! Perhaps it is the needle that does it- it hurts so it must help. Red KoolAid in a syringe would produce the same outcome.