Renal Dialysis/Nephrology

caroline

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Need some assistance from nephrology coder experts..

Is there any issues on not being reimbursed for dialysis treatment on day of discharge from hospital?
Thanks,
Caroline
 

Robinznest

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Caroline, great to see another nephology person. My understaning is both code can be submitted.
Robin
 
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Broken Arrow, OK
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It is my understanding that 90935, 90937, 90945 or 90947 can be billed with any other E&M service not related to dialysis procedure or renal failure.

Caryn
 

slswain

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Parkersburg WV
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dialysis billing

My understanding is also both codes could be used IF for separate diagnosis.

I am new to nephrology and am having trouble with the monthly dialysis billing.
I am fine with the full month of coding with 90961 for age 20yr and up and for 2-3 face to face visits for the facility and 90966 for home dialysis for esrd. What if the patient is in the hospital for a portion of the month? Do I still bill the 90961/90966 along with the 90945 or 90935 when he sees the patients in the dialysis unit. OR do I use 90970 for the outpatient days and the appropriate hospital codes. and the 90935/90945 while they are in the hospital? I can't find any clear information on this matter. Please help!
Sherry:(
 

TJACKSON

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dialysis billing

Hi Sherry, If you are dealing with a Home Dialysis pt and the patient is in the hospital for example from June 1- 15. You would use the appropiate hosptial codes for the hospital stay, From June 16-30 you would use the 90970(daily/partial month) for the rest of the month. It should look something like this 90970 X 15(days left in the month). Hope this helps!
 
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