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Coordination of Benefits Questionnaire BCBS POLICYHOLDER NAME: BCBS GROUP #: BCBS MEMBER ID #: Your Blue Cross and Blue Shield contract contains a Coordination of Benefits (COB) provision. If there.

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When managing dialysis for patients with acute kidney injury, physicians may bill CPT® codes 90935, 90937, 90945 or 90947 in Places of Service (POS) 11 (Office), 19 (Off Campus-Outpatient Hospital), 22 (On Campus-Outpatient Hospital), 23 (Emergency Room-Hospital), 31 (Skilled Nursing Facility), 65 (Free Standing ...

Example: CPT 90945 is “Dialysis procedure other than hemodialysis, with single evaluation by a physician or other qualified health care professional.” The CPT code 90947 has basically the same wording except it is used for “visits requiring repeated evaluation.” Because of the inclusion of physician components in both ...

The Form CMS-2728-U3 (End Stage Renal Disease Medical Evidence Report Medicare Entitlement and/or Patient Registration) is the primary documentation that a claimant has ESRD. It also provides statistical data for use in monitoring the ESRD program.

ICD-10 code N18. 6 for End stage renal disease is a medical classification as listed by WHO under the range - Diseases of the genitourinary system .

To be paid for CPT codes 90935, 90937, 90945 and 90947: • The physician must be physically present with the patient during the dialysis procedure, and the medical record must document this.

Physician services providers should submit claims with CPT (Current Procedural Terminology) procedure codes 90951-90970 for professional ESRD (end-stage renal disease) -related services. These services may be reimbursed once per calendar month per member.

Medicare for those with End-Stage Renal Disease (ESRD Medicare) provides you with health coverage if you have permanent kidney failure that requires dialysis or a kidney transplant. ESRD Medicare covers a range of services to treat kidney failure.

These include fatigue, drowsiness, decrease in urination or inability to urinate, dry skin, itchy skin, headache, weight loss, nausea, bone pain, skin and nail changes and easy bruising.

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© Copyright 1997-2025
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Form Packages
Adoption
Bankruptcy
Contractors
Divorce
Home Sales
Employment
Identity Theft
Incorporation
Landlord Tenant
Living Trust
Name Change
Personal Planning
Small Business
Wills & Estates
Packages A-Z
Form Categories
Affidavits
Bankruptcy
Bill of Sale
Corporate - LLC
Divorce
Employment
Identity Theft
Internet Technology
Landlord Tenant
Living Wills
Name Change
Power of Attorney
Real Estate
Small Estates
Wills
All Forms
Forms A-Z
Form Library
Customer Service
Terms of Service
DMCA Policy
About Us
Blog
Affiliates
Contact Us
Privacy Notice
Delete My Account
Site Map
All Forms
Search all Forms
Industries
Forms in Spanish
Localized Forms
Legal Guides
Real Estate Handbook
All Guides
Prepared for You
Notarize
Incorporation services
Our Customers
For Consumers
For Small Business
For Attorneys
Our Sites
US Legal Forms
USLegal
FormsPass
pdfFiller
signNow
airSlate workflows
DocHub
Instapage
Social Media
Call us now toll free:
1-877-389-0141
As seen in:
  • USA Today logo picture
  • CBC News logo picture
  • LA Times logo picture
  • The Washington Post logo picture
  • AP logo picture
  • Forbes logo picture
© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232