limits for dialysis codes
Hi - just checking on limits and uses for the new dialysis codes (non-home location)
90960 - this is a monthly code, so if billed for a 1 month span, it should be 1 unit (if more than 4 face to face visits were provided). Please confirm.
90970 - since this is a partial code, (less than a full month), it should be billed daily for as many days as it was provided. Please confirm.
During 1 month span, could these 2 codes be billed together? If the month was partial? 90970 for the first 10 days, then a break because the patient was admitted to the hospital for 10 days. Then for the remaining 11 days, if more than 4 face to face visits, can 90960 be billed also on the same claim?
I'm thinking 90970 should be billed on all days in the above example (21), with the exception of the days that the patient was in the hospital.
If anyone can provide more clarification, that would be great!
Thank you for any assistance you can provide.