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Intradialytic Parenteral/Enteral Nutrition (IDPN)

  1. Exclamation Intradialytic Parenteral/Enteral Nutrition (IDPN)
    Medical Coding Books
    Does anyone have a code for Intradialytic Parenteral/Enteral Nutrition (IDPN).
    Also, would anyone know the guidelines for billing this. We have a free standing outpatient dialysis unit who is wanting to bill for this.
    Terri Newland, CPC

  2. Default
    intradialytic parenteral nutrition therapy is a subset of parenteral and enteral nutrition therapy. Daily parenteral therapy is ‘considered reasonable and necessary for a patient with severe pathology of the alimentary tract which does not allow absorption of sufficient nutrients to maintain weight and strength commensurate with the patient's general condition.' Intradialytic parenteral nutrition therapy is administered to end stage renal disease (ESRD) patients while they are receiving dialysis.

    99602(if required),
    99507 if any

    B4164, B4168, B4172, B4176, B4178, B4180, B4185, B4189, B4193, B4197, B4199, B4216, B4220, B4222, B4224, B5000, B5100, B5200 Parenteral nutrition, code range ;

    ICD-9 Diagnosis
    585 Chronic renal failure
    586 Renal failure, unspecified

  3. Default B4185/b4199
    Are you supposed to bill NDC codes for the B4185 and B4199?

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