ESRD Service Coding #ESRDservicecodingmalayalam #Medicinecptmalyalam #CPTcodingmalayalam

Dialysis is needed to clean the blood when the kidneys stop functioning properly. There are two main types of dialysis – hemodialysis and peritoneal dialysis. Hemodialysis is a unique method to treat advanced kidney failure and help people carry on an active lifestyle despite failing kidneys. The procedure involves pumping the patient’s blood through a machine for filtration and passing it back into the body. It helps control blood pressure and balance important minerals, such as potassium, sodium, and calcium, in the blood. The procedure is generally carried out at a medical facility 3 days a week, with a session lasting between 3-5 hours. The time needed for a dialysis depends on several factors like – how well the kidneys are functioning, how much waste and fluid builds up inside the body (between the treatments), and the height and weight of the patient. CPT Codes to Report Hemodialysis Procedure 90935 – Hemodialysis procedure with single evaluation by a physician or other qualified healthcare professional 90937 – Hemodialysis procedure requiring repeated evaluations, with or without substantial revision of dialysis prescription – This code is used to report services provided by the physician during the patient’s hemodialysis treatment. 90940 – Hemodialysis access flow study to determine blood flow in grafts and arteriovenous fistulae by an indicator method CPT Codes for Miscellaneous Dialysis Services and Other Dialysis Procedures (90945-90947) This code range covers services not found in other code ranges for dialysis procedures such as peritoneal dialysis, hemofiltration, and other continuous renal replacement therapies. 90945 Dialysis procedure other than hemodialysis (e.g. peritoneal, hemofiltration) with single evaluation by a physician or other qualified healthcare professional 90947 Dialysis procedure other than hemodialysis (e. g. peritoneal, hemofiltration) requiring repeated evaluations, by a physician or other qualified healthcare professional, with or without substantial revision of dialysis prescription Hemodialysis Access Maintenance Codes 36901 AV shuntogram 36902 AV shuntogram and angioplasty of peripheral dialysis segment 36903 AV shuntogram, stent placement, and angioplasty of peripheral dialysis segment 36904 AV shuntogram and percutaneous mechanical thrombectomy 36905 AV shuntogram, angioplasty, and percutaneous mechanical thrombectomy 36906 AV shuntogram, stent placement, angioplasty, and percutaneous mechanical thrombectomy +36907 Angioplasty of central dialysis segment (add-on) +36908 Stent placement and angioplasty of central dialysis segment (add-on) +36909 Embolization, main circuit or accessory veins