Coding, Classification & Reimbursement

1.  Dialysis Questions- Modifier needed?

Posted 7 days ago
​Hello All,

On an Inpatient claim,

Issue 1.  Dialysis nurse comes to the facility, administers the dialysate leaves and then returns after a few hours to complete the dialysis.

Issue 2.  Dialysis nurse initiates the dialysis, but it is stopped, or otherwise interrupted.  The procedure is cancelled.


My thought is that the scenario 1 would be one visit, and coded\billed as such.  Scenario 2 would be coded as a discontinued\cancelled procedure with a modifier.   Am I going in the right direction?

Thank you for your help.
Kelly

 



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Kelly Morgan
Vice President of HIM
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2.  RE: Dialysis Questions- Modifier needed?

Posted 7 days ago
Dear Kelley,

Yes everything seems to be in order.

Jodi Miller, RHIT, CCS

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Jodi Miller, RHIT, CCS
St Mary Medical Center
Outpatient Coder/Abstractor
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3.  RE: Dialysis Questions- Modifier needed?

Posted 7 days ago
​Thank you Jodi.  I appreciate your help.

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Kelly Morgan
Vice President of HIM
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