LCD Reference Article Response To Comments Article

Response to Comments: Immune Thrombocytopenia (ITP) Therapy

A57929

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Article ID
A57929
Original ICD-9 Article ID
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Article Title
Response to Comments: Immune Thrombocytopenia (ITP) Therapy
Article Type
Response to Comments
Original Effective Date
04/01/2020
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CGS Administrators, LLC received comments on proposed policy DL38268-Immune Thrombocytopenia (ITP) Therapy from 10-30-2019 through 12-14-2019. Comments were received from the provider community. The notice period begins 02-15-2020 to 03-31-2020. The LCD becomes final on 04-01-2020.

Response To Comments

Number Comment Response
1

We received a comment from the manufacturer of a thrombopoietin receptor agonist medication (Amgen, Inc.) regarding the newly published 2019 guidelines from both the American Society of Hematology and the International Consensus Report. They encourage the use of TPO-RA for second-line management.

Thank you for comments. The recommendations from both the 2019 International consensus guidelines and 2019 American Society of Hematology have been incorporated into the LCD. There is a lack of evidence to support strong recommendations for various management approaches. The coverage criteria in the LCD allows for several second-line treatment options. Shared decision making, with consideration of patient desires and risk and benefits in determining which second-line treatment option is best for each individual patient is encouraged, and documentation of such in the record is required.

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Associated Documents

Medicare BPM Ch 15.50.2 SAD Determinations
Medicare BPM Ch 15.50.2
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