Dialysis Services and Procedures CPT
®
Code range
90935- 90999
. The Current Procedural Terminology (CPT) code range for Dialysis Services and Procedures 90935-90999 is a medical code set maintained by the American Medical Association.
What is the CPT code for peritoneal dialysis?
Unfortunately, instead of its own section, PD is lumped in with CPT codes for hemofiltration and continuous renal replacement therapies and the section is titled, “Miscellaneous Dialysis Procedures.” In that section, CPT code
90945
is defined as, “Dialysis procedure other than hemodialysis (eg, peritoneal dialysis, …
What is the CPT code for home dialysis?
Report CPT codes
90963-90966
once monthly for home dialysis patients. The physician or practitioner, who provides the complete assessment, establishes the patient’s plan of care and provides ongoing management, should be the one who submits a claim for the monthly service.
What is procedure code 90999?
HCPCS code 90999 (
unlisted dialysis procedure, inpatient or outpatient
) must be reported in field location 44 for bill type 72X. Attach the appropriate G-modifier in field location 44 (HCPCS/RATES), for patients that received seven or more dialysis treatments in a month.
What is procedure code 90935?
Management Service.–CPT codes 90935 and 90937 are used to
report inpatient ESRD hemodialysis
.
and outpatient hemodialysis performed on non-ESRD patients
(e.g., patients in acute renal failure. requiring a brief period of dialysis prior to recovery).
What is the ICD 10 code for dialysis?
Z99. 2
is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes.
How is home dialysis billed?
How should we bill for this patient? If the patient is a home dialysis patient during the month
the management fee for the entire month is billed
under the home dialysis codes. The hemodialysis is not billed. Bill CPT code 90966 (adult) for the entire month using the 1st day of the month.
Who can bill CPT code 90837?
Psychologists who conduct sessions that require more than 60 minutes
should report CPT
®
code 90837: Psychotherapy, 60 minutes with patient.
What is procedure code 99455?
99455
Work related or medical disability examination
$236.64 by the treating physician that includes: completion of a medical history commensurate with the patient’s condition; performance of an examination commensurate with the patient’s condition; formulation of a diagnosis, assessment of capabilities and stability, …
Does Medicare pay for 90989?
For Medicare, home training is billed with 90999, but commercial payers and other government payers sometimes require the use of 90989 or 90993. CPT code 90989 is
normally used by physicians to bill for their services related to a completed course of home training
.
What is CPT code 90937?
CPT 90937 –
Hemodialysis procedure requiring repeated evaluation(s) with or without substantial revision of dialysis prescription
.
What is Revenue Code 851?
Revenue codes 821, 831, 841, and 851 are
all covered dialysis types
and include all dialysis-related services rendered to the End Stage Renal Disease (ESRD) recipient, with the exception of the following codes: Revenue code 634 and 635 for Epogen, 1 unit equals 1000 units.
What is outpatient dialysis?
Outpatient dialysis services are
used to treat the majority of individuals with end-stage renal disease (ESRD)
. In 2015, nearly 388,000 beneficiaries with ESRD on dialysis were covered under fee-for-service (FFS) Medicare and received dialysis from nearly 6,500 dialysis facilities.
What is CPT code 90837 used for?
90837 –
Psychotherapy 60 minutes
. Some health insurance companies may consider 90834 as the standard psychotherapy session. In such cases when reporting 90837, it would be beneficial to document in the clinical record why the longer service was warranted rather than the shorter service.
What is dialysis used to treat?
When your
kidneys
fail, dialysis keeps your body in balance by: removing waste, salt and extra water to prevent them from building up in the body. keeping a safe level of certain chemicals in your blood, such as potassium, sodium and bicarbonate. helping to control blood pressure.
What is the ICD 10 code for ESRD?
N18. 6
is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes.
