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Coverage Of Renal Dialysis Injectable Drugs

Illinois Medicaid - HFS·IL · Nephrology·Provider Notice
Effective date
Mar 1, 2004
We identified it
Jun 21, 2026
Days to comply

Summary

Illinois Medicaid will now cover two additional renal dialysis injectable drugs: Aranesp (Q4054) effective March 1, 2004, and Iron Sucrose/Venofer (J1756) effective January 1, 2003. Providers must verify current reimbursement rates from the Physician Fee Schedule on the department's website.

Action Required

Action needed
Immediately: Billing team must verify current reimbursement rates for Q4054 (Aranesp) and J1756 (Iron Sucrose) from Illinois Medicaid's Physician Fee Schedule at dpaillinois.com. Update billing system to include these covered injectable drug codes for renal dialysis patients. Replace Hospital Handbook Appendix H-18 page with December 2004 version.

Affected Billing Codes

Q4054
J1756