CPT^® 90935, Under Hemodialysis Procedures

The Current Procedural Terminology (CPT^®) code 90935 as maintained by American Medical Association, is a medical procedural code under the range - Hemodialysis Procedures.

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Summary

Hemodialysis is a procedure that involves drawing blood via an intra–arterial or intravenous catheter, then sieving it through a semi permeable membrane to remove the impurities and finally transfusing the blood back into body. Along with performing hemodialysis, the same provider may also carry out an E/M service related to the dialysis on the same day, which is also included in this code.

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Requirements for billing 90935

Does a physician have to be present during dialysis to bill 90935 or can they see the patient earlier in the day and have ordered it?... [ Read More ]

Established Patient billing

In my opinion the CPT description of the modifier is written policy. Depending on the payer they probably have reference to modifier 25 in their guidelines too. This is probably one of the easiest pro... [ Read More ]

Dialysis

In case it helps, I'm assuming the code is 90935 (not 93935), and outpatient Medicare NCCI has a 90935/36905 edit with 36905 in the col. 2 position (can override the edit with an NCCI modifier, when a... [ Read More ]

dialysis and inpt E/M

[QUOTE="Maasc, post: 445450, member: 91842"] IS it appropriate to bill a dialysis run (90935) and a subsequent E/M for the same specialty on the same day for a inpatient stay (99231 - 99233) with a mo... [ Read More ]

dialysis and inpt E/M

I also need clarfication. My provider was called for a consult while the patient was receiving HD 90935 due to hypervolemia. Is it appropriate to bill E/M and 90935 is provider only documents the co... [ Read More ]

90935

About 50 pages into[URL='http://www.obc.med.miami.edu/documents/Nephrology_Miami_4-3-16_Final.pdf'] this document [/URL]is documentation for 90935-90937, and others.... [ Read More ]

90935

I have been unable to locate specific CMS guidelines regarding the documentation requirements for 90935-90937 and 90945-90947? Does anyone know if there are guidelines and if so, where to locate them... [ Read More ]

Dialysis CPT

Hello debbiesom, I would think CPT 90935 for initial [U]hemodialysis[/U] and CPT 90945 for initial dialysis other than hemodialysis. Since CVVHD is for hemodialysis CPT 90935, if it was for hemofiltr... [ Read More ]

Dialysis CPT

There is no separate section for Nephrology so I am hoping under Urology someone can help me Hemodialysis Inpatient Hospital HD for ESRD 90935 CRRT CPT Code? CVVHD CPT Code? are they all 90... [ Read More ]

Dialysis coding

I have a provider who is the managing physician at a dialysis facility. The patient is ESRD and we billed out the monthly code 90961, as we had 2 face-to-face visits for the month. During the month,... [ Read More ]

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