Has anyone received payment for hcpcs code J0606 w/Mod AX? If so, did you add any additional information to your claim? Thank you in advance.
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Download your Free copy of my "Medical Coding From Home Ebook" at the top right corner of this page 2018 CPC Practice Exam Answer Key 150 Questions With Full Rationale (HCPCS, ICD-9-CM, ICD-10, CPT Codes) Click here for more sample CPC practice exam questions with Full Rationale Answers Click here for more sample CPC practice exam questions and answers with full rationaleTag Archives: Dialysis
Nephrology monthly dialysis billing – professional
For example: A provider does a limited visit earlier in the month. Then, when the provider is at the dialysis unit again later in the month to do a comprehensive visit, the patient is absent. By the end of the month, there is only 1 limited visit captured for that patient – which means we are unable to bill out anything for that month. If the provider that did the original limited visit can justify that the work they have done falls under the guidelines of a comprehensive visit, can that provider go back and amend their note to a comprehensive visit so that we can bill out for that month?
Any feedback on this would be greatly appreciated!
Thanks,
Amanda
Arteriovenous shunt for dialysis
CMS reduces reimbursement by 13% for non-emergency BLS ambulance transports to and from renal dialysis treatment
Dialysis monthly note audit
Outpatient dialysis brings coding challenges
By Shelley C. Safian, PhD, RHIA, CCS-P, COC, CPC-I, AHIMA-approved ICD-10-CM/PCS trainer
- E10.22, Type 1 diabetes mellitus with diabetic chronic kidney disease
- E11.22, Type 2 diabetes mellitus with diabetic chronic kidney disease
- I12.0, hypertensive chronic kidney disease with stage 5 chronic kidney disease or end stage renal disease
- I13.11, hypertensive heart and chronic kidney disease without heart failure, with stage 5 chronic kidney disease or end stage renal disease
- 90935, hemodialysis procedure with single evaluation by a physician or other qualified physician or other health care professional
- 90937, hemodialysis procedure requiring repeated evaluation(s) with or without substantial revision of dialysis prescription
- 4052F, hemodialysis via functioning arteriovenous fistula [ESRD]
- 4053F, hemodialysis via functioning arteriovenous graft [ESRD]
- 4054F, hemodialysis via catheter [ESRD]
- 90940, hemodialysis access flow study to determine blood flow in grafts and arteriovenous fistulae by an indicator method
- 93990, transcranial Doppler study of the intracranial arteries, vasoreactivity study
- Peritoneal dialysis: The catheter is connected to the abdominal cavity, using the peritoneal membrane to filter the blood
- Hemofiltration: A mechanical filtration circuit cleans the blood of waste products and excess fluid using a convection process
- 90945, dialysis procedure other than hemodialysis, with single evaluation by a physician or other qualified physician or other health care professional
- 90947, dialysis procedure other than hemodialysis, requiring repeated evaluation(s) by a physician or other qualified health care professional, with or without substantial revision of dialysis prescription
- 99601, home infusion/specialty drug administration, per visit (up to two hours)
- Add-on code 99602, each additional hour
- Patient’s age, grouped into ranges:
- Younger than 2
- 2–11 years old
- 12–19 years old
- 20 and older
- Location of where the services are performed, either an outpatient facility or through home dialysis
- Level of physician services determined by the number of face-to-face visits by a physician
aneurysms and pseudo aneurysms in dialysis fistulas and grafts
We found I72.9- Aneurysm of unspecified site- that seems like it could work but my concern is that our surgeon specifies where the aneurysms and/or pseudo aneurysm is in his documentation and they are always specific to the dialysis fistula/graft.
I found T82.530 and T82.531- Leakage of a surgically arteriovenous fistula/graft, respectfully, that I thought would be appropriate for pseudo aneurysm- and T82.510 and T82.511- Breakdown (mechanical) of surgically created fistula/graft, respectfully, for aneurysm.
Which would be the most appropriate code?
Dialysis billing for deceased patient
Dialysis billing for deceased patient
removal of intraperitoneal dialysis catheter
thanks in advance!