CPT^® 90947, Under Miscellaneous Dialysis Services and Procedures

The Current Procedural Terminology (CPT^®) code 90947 as maintained by American Medical Association, is a medical procedural code under the range - Miscellaneous Dialysis Services and Procedures.

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Summary

Dialysis removes fluid, electrolytes, and other low–molecula–weight toxic substances from the blood by filtration through hollow artificial membranes and may be routinely performed in 3 weekly sessions. Peritoneal dialysis is carried out at home by the patient. Although support is helpful, it is not essential. The concept behind continuous renal replacement techniques is to dialyze patients in a more physiologic way, slowly, over 24 hours, just like the kidney does.

Report 90947 if the procedure requires repeated physician evaluations, with or without substantial revision of a dialysis prescription.

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View matching HCPCS Level II codes and their definitions.

Forum

Have a question about CPT Code 90947 ? Start a discussion here

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 ]

Other Hemodialysis

The physician component of these services is reported with CPT code 90945 or 90947.... [ 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 ]

Inpatient Dialysis

[b]answer[/b] I am curious if you ever found the answer to this question. I am having the same issue with my Nephrology doctor. [QUOTE="JenLawson, post: 353990, member: 150360"]Hi all, I have a d... [ Read More ]

Inpatient Dialysis

Hi all, I have a dilemma currently... The doctor and coders are interpreting the same sentence in two diffierent ways. The sentence from CMS ([url]https://www.cms.gov/Regulations-and-Guidance/Guidance... [ Read More ]

CVVH for ARF

You would use 90945 or 90947 depending on the number of evaluations the provider made during the treatment.... [ Read More ]

ESRD related services billing

[b]Esrd[/b] I do not work in the ESRD specialty but I have worked with billing Medical assistance claims. Through my experience - Because Medicaid eligibility for a patient can vary day-to-day (bein... [ Read More ]

I require assistance from my fellow coders!!

:) Salutations! I am in need of some fellow coding help with my studies. I have given my brain a good lashing and still unable to come up with the correct answer, so i was hoping I could get a little... [ Read More ]

New Injection Guidelines

I tried to find your reference but nothing would come up. I cannot help but think it is being misinterpreted but it is hard to tell since you posted only a portion. From the most recent update Med... [ Read More ]

Dialysis Billing - I do dialysis billing for a local hospital

I do dialysis billing for a local hospital but I am having trouble with getting my claims paid. If anyone have any suggestions or examples on how I can get a clean claim out to medicare, medicaid and... [ Read More ]

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