Dialysis claims billing update

Last modified: August 30, 2021

Effective Oct. 1, 2021, in accordance with Centers for Medicare & Medicaid (CMS) guidelines, UnitedHealthcare® Medicare Advantage® will require dialysis providers to submit claims with the following modifiers. 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.

Questions?

Contact your network account manager.

CPT® is a registered trademark of the American Medical Association.  
PCA-1-21-02901-UHN-News