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Thread: Critical care

  1. #1
    Join Date
    Apr 2007
    New Windsor

    Default Critical care

    AAPC: Back to School
    Doctor for nephology wants to know if he can bill critical care for dialysis treatment. I've read that critical care can only be billed with dialysis only if if organ failure or systemic infection occurs during treatment. Does he just bill prolonged services if everything goes fine? I appreciate any and all comments!! I'm pretty sure hes looking for a code to describe the managemnt or organ failure.


  2. #2

    Default critical care

    23.5 - Inpatient Dialysis and Evaluation/Management

    Payment for Evaluation and Management (E&M) procedure codes will be bundled into payment for inpatient dialysis procedures 90935-90947 for services rendered on or after January 1, 1995. No payment will be made for the E&M visits if billed the same day as inpatient dialysis.

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