Hi, longtime listener, first time poster. I am a part b New York Oncology provider. Ever since Medicare updated their lcd policy (l25211) earlier this year, I can't get J0881 aranesp or J0885 Procrit paid by medicare for icd-9 238.72. The lcd states 238.72 should be primary dx. I have billed out like this and I never get paid, even changed to 284.89 as primary or secondary dx to 238.72 and still no luck. Medicare is of no help. Wait forever on phone, I get no assistance or I am told to add an RT or LT modifier but that can't be right and it got denied anyway. I am told to appeal but the process takes 2 months or more. Is there something I am doing wrong, I've read the LCD a million times. I have the HCT level, I have the EA modifier. I bill with 90772. I don't know what I'm doing wrong...Please help....thanks