Billing Monthly ESRD Codes

Providers who submit claims for monthly end stage renal disease (ESRD) services (e.g., CPT® codes 90951 through 90966) should be aware of how to complete the Days/Units and Dates of Service (DOS) fields, reminds jurisdiction 1 Part B Medicare administrative contractor Palmetto GBA.
Days/Units

• Enter ‘1’ for the month
  • ANSI 5010 electronic claims: Loop 2400, Segment SV1 and Element 04 (03=UN)
  • CMS 1500 claims: Item 24g

Dates

• Enter a span of dates within the month billed
  • ANSI 5010 electronic claims: Enter the last DOS in Loop 2400, Segment DTP/472, Element 03
  • CMS 1500 claims: Item 24a

Example: For services provided during August 2011 (Aug. 1 through Aug. 29), enter “08/29/11” as the date and “1” for the days/units.

• Author
• Recent Posts

admin aapc

Latest posts by admin aapc (see all)

• I Am AAPC: Tara Purnell, CPC, CRC - June 5, 2020
• Therapists Gain More Freedom in New Waiver - May 22, 2020
• Message From Your Region 6 Representatives | Pam Tienter and Jean Pryor - January 16, 2020