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Dialysis treatment by 2 physicians in the same month

Ramona Posted Tue 17th of March, 2015 12:13:59 PM

I have a patient that the Dr. saw the patient for 3 visits at the dialysis center at the end of the month. This patient had seen a different Dr. (not associated with our practice) in the beginning of the month and then switched to our Dr. Unfortunately, the other provider got his bill for the dialysis in first and our claim has been denied. I would like to know if there is any modifier that could be used to get this claim paid.

SuperCoder Answered Wed 18th of March, 2015 03:11:01 AM

There is no specific modifier that can be billed. You can bill CPT code 90961 for a ESRD patient, aged more than 20 years with 2-3 face-to-face visits by a physician or other qualified health care professional per month.

I hope this information will be helpful.

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