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Thread: Renal Dialysis/Nephrology

  1. #1

    Default Renal Dialysis/Nephrology

    AAPC: Back to School
    Need some assistance from nephrology coder experts..

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

  2. #2


    Caroline, great to see another nephology person. My understaning is both code can be submitted.

  3. #3


    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.


  4. #4

    Default 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!

  5. #5

    Default 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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