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-   -   End stage Renal codes not covered (http://www.aapc.com/memberarea/forums/showthread.php?t=93392)

chrissy_klink@yahoo.com 06-06-2013 10:58 AM

End stage Renal codes not covered
I am receving denials for CPT 90960, 90961, and 90962 from all PA Medicaids stating that it is not a covered code. The patients are in an End-Stage Renal Disease Treatment Facility with a place of service 65. Is there another code I should be billing to receive payment for the provider seeing the patients?

mschelle1219 06-06-2013 12:28 PM

I'm not too familiar with PA medicaid but I deal with ESRD patients that are under our doctor's care in CA. 90960-90962 are the correct CPT codes when billing CA Medi-Cal (medicaid). It is billed from and through so you would bill a 90960 ex dos: 05/01/13-05/31/13. Check your medicaid billing guidelines on the proper way to bill for ESRD.

Hope this helped!

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