CPT^® 90951, Under End-Stage Renal Disease Services

The Current Procedural Terminology (CPT^®) code 90951 as maintained by American Medical Association, is a medical procedural code under the range - End-Stage Renal Disease Services.

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Summary

The provider manages all the services associated with the monthly care of a patient who is younger than 2 years old and has a condition known as end stage renal disease, or ESRD. For this service, the provider sees the patient face–to–face at least four times during the month to accomplish this care.

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Transitional Care Management (99495 and 99496) with a Medicare Wellness

[QUOTE="TThivierge, post: 516062, member: 216725"] Hi Ivy Girl :) In medical office use to work in we did bill both CPT 99495 or CPT 99496 and annual wellness same date. Adding modifier 25 on annual w... [ Read More ]

Transitional Care Management (99495 and 99496) with a Medicare Wellness

Hi Ivy Girl :) In medical office use to work in we did bill both CPT 99495 or CPT 99496 and annual wellness same date. Adding modifier 25 on annual wellness CPT. However documentation had to be such ... [ Read More ]

TCM question

Hi, TCM services do not include EKGs. Per EncoderPro: "Do not report these codes when reporting 90951-90970, 98960-98962, 98966-98969, 99071, 99078, 99080, 99091, 99339, 99340, 99358, 99359, 99366-9... [ Read More ]

ESRD Code Requirements

Are there any requirements for using CPT codes 90951-90962? Can 90951-90962 be used when the below listed codes are used throughout the same month service dates? Hemodialysis procedure with eval... [ Read More ]

ESRD or Office Visit?

Does anyone know if a provider has the choice to either bill as a Monthly Capitated Payment code (90951-90962) OR just billing an office visit + daily ESRD code (90970)? I can't find any regulations ... [ Read More ]

90960-90962 help!!!!

[b]Palmetto SoCal guideline[/b] I'm having difficulties finding official billing guideline for cpt 90951-90966 ; 90967-90970 from Palmetto (SoCal) for professional services in all settings. would th... [ Read More ]

Dailysis in SNFs

Can anyone shed some light on how to bill ESRD dialysis when a patient is in a "Transitional Care Unit" - a SNF? Do we bill this as Inpaitent so us 90935-90937? Or is this an outpatient service - bil... [ Read More ]

Age Specific CPTs

[QUOTE="janeb, post: 171050, member: 84443"]Hello, I have been given a task to list all age specific CPT codes. Does that list exist somewhere ? If not, any suggestions as what is the most effective... [ Read More ]

Hemodialysis

According to the guidelines codes 90935 & 90937 are used for [B]inpatient ESRD [/B]and [B]non-ESRD[/B] procedures [B]or[/B] for [B]outpatient non-ESRD [/B]dialysis services. Codes 90951-90962 are rep... [ Read More ]

Hemodialysis

Could someone help me understand the difference between the dialysis codes? Specifically Hemodialysis codes 90935 & 90937 and then the ESRD Service codes 90951 - 90966? I understand that the 90951-909... [ Read More ]

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