Medical Billing Coding - Transcient on dialysis, cpt, codes
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Thread Topic: Transcient on dialysis
Topic Originator: cheryl
Post Date August 8, 2007 @ 1:28 PM
Transcient on dialysis

August 8, 2007 @ 1:28 PM Reply  |  Email Friend   |  |Print  |  Top

If a transcient comes to our unit from out of state. He dialysis 3 times
during his week stay and our NP is the only one that saw him. What
should I bill....90935 for 3 days....?? Or should I not bill anything since
an assessment was only done by his MCP in his state???Need help !!

Steve Verno
August 9, 2007 @ 10:41 PM Reply  |  Email Friend   |  |Print  |  Top

The patient never saw a doctor?

Who authorized the dialysis?

Per CPT:
Codes 90935, 90937 are reported to describe the hemodialysis procedure with all evaluation and management services related to the patient's renal disease on the day of the hemodialysis procedure. These codes are used for inpatient ESRD and non-ESRD procedures or for outpatient non-ESRD dialysis services. Code 90935 is reported if only one evaluation of the patient is required related to that hemodialysis procedure.

You can't charge 90935 with no physician:

90935 is Hemodialysis procedure with single physician evaluation

October 24, 2007 @ 2:31 PM Reply  |  Email Friend   |  |Print  |  Top

I'm new to this web-site, not new to Nephrology.  The answer to your question RE:Transient Patient's is to bill G0327 to Medicare which is the daily charge or 90925 for other insurance companies, for each day the patient was under your care.  Not the number of times they dialized but the number of days in your city.  Dialysis on three days over two weeks bill the daily fee for 14 days. I found a lot of information on the RPA web site.  You must be a member to use.

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