CPT^® 90970, Under End-Stage Renal Disease Services

The Current Procedural Terminology (CPT^®) code 90970 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 for less than one full month all the daily services associated with the 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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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 ]

Nephrology TCM Coding nephrology tcm

Is a nephrologist allowed to bill TCM services (99495-99496) for patients who are receiving ESRD services (90960-90970) in the same month? Coding book says no but 2020 Final rule reads a little differ... [ Read More ]

Nephrology Group billing 90970

Correct units to bill for 99070. Patient only seen by our physicians as face to face visit on 3-5-19, and 3-19-19. After 3-19-19 patient transferred to a different Dialysis to continue treatment. So... [ 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

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 ]

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 ]

Dialysis 90970

Hello, I'm auditing a provider whom sees/manages dialysis for a patient at a free standing dialysis clinic. The physician is billing 90970 daily because there was no comprehensive visit done for the... [ 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 ]

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