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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
  • Report one of the following codes: 90921, 90925, 90935, 90937.
  • 90999 billed to Priority Health secondarily will be paid according to the coordination of benefits.
Last modified 03/05/09