Nephrology ESRD Billing Question

kimschultz

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Does anyone know if the cause of ESRD needs to be on the claim form when billing for dialysis charges (other than ESRD and the Z code that is already on there) or does the cause just need to be in the notes?

Thanks,
Kim
 

jsalzer50

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ESRD codes

Hey Kim,

Is the ESRD caused by hypertension? If yes, would code I12.0 (hypertensive chronic kidney disease with stage 5 chronic kidney disease or end stage renal disease.) Then, there is a note following I12.0: "Use additional code to identify the stage of chronic kidney disease (N18.5, N18.6)"

In short, if ESRD is caused by hypertension, would go with: I12.0, N18.6, Z99.2

But, if the ESRD is NOT caused by hypertension, I think we just use the N18.6 and the Z code.

- Jacob
 

kimschultz

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Thanks Jacob for helping me. We use those also, I worded my question wrong.
I meant the comorbidities, do you now have to list them on the claim with the ESRD and the cause?

Thanks,
Kim
 
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