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Provider Manual

 

 

Billing for hemodialysis services

Home hemodialysis

  • Bill CPT code 90999 with type of bill 72 and condition code 74.
  • Condition code 74 must be billed to indicate the dialysis was in the patient's home.
  • Payment for 90999 with condition code 74 is manually priced.

Dialysis performed in a facility

  • Bill for dialysis services in accordance with individual participation agreement.
  • 90999 billed to Priority Health secondarily will be paid according to the coordination of benefits.
Last modified: 4/14/2011
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