When a Nephroligist is requested to do an initial inpatient consult for an ESRD patient who was admitted to the hospital for other reasons than renal & the patient will need to continue dialysis while in hospital, can the doctor bill 99254-25 & 90935?? This is the way our office has been billing and Medicare is only paying for the dialysis(90935). We read in the description that payment for all E&M services is bundled into the payment for 90935. Also in the description, it says that "these services may be reported as provided on the same date as a dialysis service, if the service is significant & separately identifiable, meets any medical necessity requirements & is reported with the use of modifier 25.
Our doctors feel that they are doing a full initial consult along with managing the patients dialysis service.
Any help with this is much appreciated!!
Our doctors feel that they are doing a full initial consult along with managing the patients dialysis service.
Any help with this is much appreciated!!