AMA CPT® Assistant - 2018 Issue 2 (February)

Medicine: Dialysis (Q&A) (February 2018)

February 2018 page 12-end Medicine: Dialysis Question: Which CPT codes should be reported if the complete assessment of an end-stage renal disease (ESRD) patient was furnished during the month, but occurred after hospitalization? This pertains to our dialysis facility and home dialysis ESRD patients. Answer: Codes 90951-99066 (ESRD-related services monthly) should be reported if a complete assessment was performed. The timing of that assessment in relationship to other episodes of care (including hospitalizations) is not a factor. The introductory language references a hospitalization interruption for the use of codes 90967-90970 (ESRD-related services for dialysis less than a full month...

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CPT® Assistant content is the official source for CPT® coding guidance. It is an instrumental tool when appealing insurance denials and validating coding to auditors. Monthly issues and an extensive archive provide comprehensive guidance on proper CPT® coding for past, present and upcoming code set releases. Archives date back to 1990 for historical use of codes, changes, rationales, coding tips and trends in the industry.

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