how do I bill public aid for dialysis charges contained by illinois-what hcps code do I use for treatments?
Answers:
This rule is found in the Medicare/Medicaid annual update newsletter for one state. The state of Illinois may differ. Just stir to your Medicare/Medicaid state website and verify this information.
SUBJECT: BILLING DIALYSIS CLAIMS
Type of Bill 721,722, 723, and 724 for dialysis claims. This will facilitate the crossover billing from Medicare. The following revenue codes and procedure codes to bill for dialysis services are acceptable:
Revenue Code Corresponding HCPCS Code (if applicable)
270 Supplies
272 Sterile Supplies
634 EPO < 10,000 Units Q4055 (Other Q codes for EPO prior to 04/01/2004)
635 EPO >= 10,000 Units Q4055 (Other Q codes for EPO prior to 04/01/2004)
636 Drugs requiring detailed coding Correct HCPCS injection code
821 Hemodialysis/Composite Rate 90999
831 Peritoneal/Composite Rate 90945 or 90947
841 CAPD/Composite Rate 90945 or 90947 and 90993
851 CCPD/Composite Rate 90945 or 90947 and 90993
881 Ultrafiltration
882 Home Dialysis Aid Visit
The G codes G0308–G0327 forceful January 1, 2004 and implemented by Medicare on October 18, 2004 for managing patients on dialysis beside variable payments base on the
number of visits provided inwardly each month should be used for services perform in an outpatient setting. Only one G code should be billed per month for the services perform in that month. Another billing requirement is to put the service date on respectively detail line (form locator 45 of the UB92). The FROM and THROUGH date of service at the header(form locator 6 on the UB 92), must match the total days billed at the detail even.