Get TX End Stage Renal Disease Facility License Application 2018-2024

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.

CPT ® 90960 - End-stage renal disease (ESRD) related services monthly, for patients 20 years of age and older; with 4 or more face-to-face visits by a physician or other qualified health care professional per month.

The codes to report end-stage renal disease services are in the range 90951-90970. For patients with ESRD, dialysis services are reported on a monthly basis, with a code from the 90951-90966. Codes 90967-90970 are billed per day for services lasting less than a full month.

CPT® 90962, Under End-Stage Renal Disease Services The Current Procedural Terminology (CPT®) code 90962 as maintained by American Medical Association, is a medical procedural code under the range - End-Stage Renal Disease Services.

The physician or other practitioner can bill only one of three current procedural terminology (CPT) codes for ESRD-related visits of one per month, two to three per month, or four or more per month (CMS, Medicare Claims Processing Manual, Pub. No. 100-04, chapter 8, § 140.1).

End-Stage Renal Disease Services CPT® Code range 90951- 90970.

The Current Procedural Terminology (CPT®) code 90966 as maintained by American Medical Association, is a medical procedural code under the range - End-Stage Renal Disease Services.

Under state law, HHSC is responsible for the licensing and regulation of ESRD facilities in Texas, and the Regulatory Services Division within HHSC carries out these duties. HHSC adopts rules for ESRD facilities including establishing standards for: Licensing procedures and fees.