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Nephrology Billing for code 90970

When billing this code for a transients patient either on vacation or is moving and has had 3 treatments at our center, and the rest of that month at another center.

What is the proper way to bill this code with a from and to date of service and indicated the numbers of units? Do you always bill 90970, even if you provider, did provider a Complete Assessment? Do you ever need to provide an admit and discharge date I’m being told you do, but this is outpatient services. I usually bill a from and to date of service, and the number of units. How do you handle a situation where the patient was in you care for part of the month physician provides Complete Assessment, patient has 2 more visits and moves onto new center to complete treatment. If we bill the code as 90961, most time it is denied because another provider has already billed those services, what is the option here????

Medical Billing and Coding Forum

Nephrology monthly dialysis billing – professional

I’m reaching out to other nephrology billers to see if anyone knows if amending a monthly dialysis limited note to a comprehensive note is a legal, acceptable, and common practice that you have done or heard of.

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

Medical Billing and Coding Forum

Coding for interventional nephrology

I need assistance on a "selective catheterization of 2nd order artery" please.

My provider performed
Access to graft with angiogram
Selective catheterization of 2nd order artery
Arteriogram

I know how to code all except the 2nd order artery cath. Is that a separate code? The description of that part of procedure is:

"The ulnar artery was selectively catheterized with the 4 french straight vascular catheter. This was done because of the need to examine the artery, the flow of blood into the forearm and hand, and to rule out steal syndrome. Contrast was injected into the ulnar artery and an arteriogam was performed from this location."

Any suggestions?

Thank you,
Mary

Medical Billing and Coding Forum

All nephrology coders!!

General question….How would you code this note by just the assessment???
HPI: post transplant, course largely uneventful

Assessment:

Renal transplant n18.6
Hypertension I10
Anemia in chronic kidney disease n18.9
CKD-Mineral and bone disease n25.0
Hypercholesterolemia E78.0
Proteinuria r80.9
Post transplant Prophylaxis V65.40

Just needing a bit of reassurance on this one.

Thanks!

Medical Billing and Coding