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