In accordance with Centers for Medicare & Medicaid (CMS) guidelines, UnitedHealthcare® Medicare Advantage will require dialysis providers to submit claims with the following modifiers. We notified you in August 2021 that effective Oct. 1, 2021, you need to use CG or KX for dialysis treatment revenue codes 821 and 881 when billing with CPT® code 90999. Dialysis treatments that exceed 14 treatments in a calendar month will be reviewed per CMS guidelines.
Contact your network account manager.
CPT® is a registered trademark of the American Medical Association.