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dialysis

  1. #1
    Default dialysis
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    We have a physician who sees renal failure patients in the office monthly. The dialysis treatment is performed at a facility in ANOTHER CITY. Can she bill for the dialysis?

  2. #2
    Location
    Duluth, Minnesota
    Posts
    1,133
    Default
    why would she bill for dialysis? (isn't she just seeing the patient for follow up?) or am I missing something here? Seems to me she'd be billing an E/M level with dx's accordingly - but as for billing dialysis, - isn't that the procedure done at the facility, wouldn't they be coding/billing for that?
    Donna, CPC, CPC-H

  3. #3
    Default renal dialysis
    I used the incorrect teminology. She is billing for the management of the dialysis using G codes (G0317, G0318, G0319). Again, this is dialysis being performed at a facility in another city. She is monitoring their treatment and labs as well as perfoming an evaluation once a month.

  4. #4
    Default
    Our drs. see dialysis pts in another city also. The patients are seen weekly and then a CMP is done once a month. Then depending on how many times the pt is seen that month is what G code you use. There are instances when the pt is in the hospital one week, on vacation, non-compliant, etc. Make sure it is documented why the pt was not seen. Hope this helps!
    Susie Corrado, CPC
    __________________
    ENT Coding/Billing

  5. #5
    Default dialysis
    What place of service code do you use? (office, facility, etc.)

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