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CPT codes 99201-99204 with POS 65 for AKI pts seen in the Dialysis Unit

Best answers
Per the RPA, we are to use 90935 and 90945 with POS 65 for our AKI patients who will be seen in the dialysis units instead of the hospital outpatient unit as of 1/1/17. My questions is this, can we also use 99201-99204 for those AKI patients who are new to our practice who we see for the first time in the dialysis unit? Will POS 65 work with these codes?

Jennifer Turner

Local Chapter Officer
Indianapolis, Indiana
Best answers
As long as the diagnosis is AKI and not ESRD, then yes you may bill the office visit separately. The POS for the office visit will be 11 if the visit was performed in your physicians office. If the OP visit was performed in the dialysis unit, then the POS would be 65. Does this make sense?

Hope this helps!