AAPC - Back to school
Results 1 to 2 of 2

Thread: Dialysis management for inpatient

  1. #1
    Join Date
    Apr 2007

    Default Dialysis management for inpatient

    AAPC: Back to School
    I hope someone can help us with this confusing question!! If a Nephrologist has been referred to do a consult to manage dialysis for an ESRD patient admitted to the hospital for other reasons than renal, can you code for a consult (99254) and dialysis (90935)? We tried using modifier 25 with the E/M code but it has been getting denied. Medicare is paying for the dialysis (90935) only.

  2. #2
    Join Date
    Apr 2007


    You cannot bill a consult and dialysis on the same day. Even with a modifier. I do not actually do Nephrology billing - one of my co-workers does. If I am not mistaken you can code an admission and discharge with dialysis but not visits or consults. Hope this helps!

Similar Threads

  1. Inpatient Dialysis
    By JenLawson in forum Medical Coding General Discussion
    Replies: 2
    Last Post: 04-21-2016, 08:07 AM
  2. conversion of temporary dialysis catheter to tunneled dialysis catheter
    By sawilliams in forum Medical Coding General Discussion
    Replies: 0
    Last Post: 10-07-2015, 11:54 AM
  3. Replies: 2
    Last Post: 05-22-2013, 12:54 PM
  4. Inpatient rehab medical management
    By lverellen in forum E/M
    Replies: 3
    Last Post: 07-05-2011, 11:17 AM
  5. Replies: 2
    Last Post: 03-11-2011, 11:42 AM

Posting Permissions

  • You may not post new threads
  • You may not post replies
  • You may not post attachments
  • You may not edit your posts

Enjoying Our Forums?

AAPC forums are a benefit of membership. Joining AAPC grants you unlimited access, allowing you to post questions and participate with our community of over 150,000 professionals.

Join Now Continue Reading Without Full Access

Already a Member?


Close Message

In addition to full participation on AAPC forums, as a member you will be able to:

  • Access to the largest healthcare job database in the world.
  • Join over 150,000 members of the healthcare network in the world.
  • Be a part of an industry leading organization that drives the business side of healthcare.
  • Save anywhere from 10%-50% with exclusive member discounts on courses, books, study materials, and conferences.
  • Access to discounts at hundreds of restaurants, travel destinations, retail stores, and service providers. AAPC members also have opportunities to save on heath, life, and liability insurance.
  • Become a member of a local chapter and attend regular meetings.