CPT^® 90961, Under End-Stage Renal Disease Services

The Current Procedural Terminology (CPT^®) code 90961 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 20 years old or older and has a condition known as end stage renal disease, or ESRD. For this service, the provider sees the patient face–to–face two to three times during the month to accomplish this care.

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Can anyone help me with documentation requirements for the comprehensive visit for codes 90960, 90961 and 9062

Can anyone help me with the documentation requirements by Medicare for the comprehensive visit for patients receiving hemodialysis.... [ Read More ]

dialysis

I have a Dr that will send his units over sometimes as 3 then later will add a unit making it 4... the issue we have is him finishing his notes and sending billing corrections after its been billed ex... [ Read More ]

Hemodialysis monthly charges for provider

1. If the provider only completes a comprehensive visit/assessment during the month, can you bill for this without any other face to face visits during the month? If so, would you use 90962? 2. ... [ 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 ]

Dialysis coding

Dialysis 90970

Its per day even if the physician is not there. I know its confusing based on the number if units, where it looks like over billing. If you consider the RVU it makes more sense. 90970 daily = RVU 0.2... [ Read More ]

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 t... [ Read More ]

nephrology & dialysis

For Home Dialysis patients, the physician is required to see the patient 1 time per month. Home dialysis or PD is billed using 90966 for the monthly charge. Even if the patient changes modalities from... [ Read More ]

Monthly Capitated Payment for OP Dialysis

[b]Monthly capitated payments for op dialysis[/b] For Home Dialysis patients, the physician is required to see the patient 1 time per month. Home dialysis or PD is billed using 90966 for the monthly... [ Read More ]

ESRD Coding

[b]ESRD codes[/b] Hello! Based on the example I read in the CPT manual, I would go with 90961. "He has had a complete assessment and the physician or other qualified health care professional has pe... [ Read More ]

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