CPT^® 90966, Under End-Stage Renal Disease Services

The Current Procedural Terminology (CPT^®) code 90966 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 physician related services for one full month for the home dialysis care of a patient who is 20 years old or older and has a condition known as end stage renal disease, or ESRD.

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ESRD coding question billing coding advice needed esrd nephrology

In Nephrology our providers see patients who are on home dialysis in the [B]dialysis center once for a monthly face to face visit and labs.....[/B] We are currently billing with CPT code 90963 based o... [ Read More ]

Nephrology Office Billing Code 90966

It depends on the carrier. It's typically billed for the first day of the month. From my recent experience, Medicare carriers tend to prefer billing the last day of the month, Medi-cal wants through d... [ Read More ]

Nephrology Office Billing Code 90966

Billing for Patient's home Dialysis charges each month. What is the appropriate date of service to bill for this charges always the first date of each month-Example 3-1-20, or the date of the compreh... [ Read More ]

Home dialysis 90966

I have a physician wanting to see patients in SNF for the monthly home dialysis visit. Am I able to bill the 90966 with POS 31? Thanks! Amy... [ Read More ]

Home dialysis 90966

I have a physician wanting to see patients in SNF for the monthly home dialysis visit. Am I able to bill the 90966 with POS 31? Thanks! Amy... [ Read More ]

Telehealth services for 90966 code

I do not believe that 90966 qualifies for telehealth services. also if you do some research you will see that we do not use the GT or GQ modifier with only a few special exceptions, Medicare will key... [ Read More ]

Telehealth services for 90966 code

I have also seen at GT and GQ Modifier but am confused on if we should add this to the 90966, any thoughts on this ?... [ Read More ]

Telehealth services for 90966 code

Thank you for replying, so we would just bill the 90966 with no modifier ?... [ Read More ]

Telehealth services for 90966 code

Hello, Assuming the visit meets the rest of the definition of a telehealth service, you would not report 90966 with 95. Here is the full descriptor for 95, emphasis added: [LEFT][SIZE=4][FONT=Segoe U... [ Read More ]

Telehealth services for 90966 code

Good afternoon My physician is doing some Telehealth Services on PD and Home Dialysis patients, to my understanding we can bill for these services, but I can not seem to find how to bill, do we use ... [ Read More ]

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