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.
Contact your network account manager.
CPT® is a registered trademark of the American Medical Association.