| 90935 |
C4 |
Hemodialysis one evaluation |
NA |
Y |
Y |
| 90936 |
C4 |
NA |
NA |
Y |
Y |
| 90937 |
C4 |
Hemodialysis repeated evaluation |
NA |
Y |
Y |
| 90940 |
C4 |
Hemodialysis access study |
NA |
Y |
Y |
| 90945 |
C4 |
Dialysis one evaluation |
NA |
Y |
Y |
| 90946 |
C4 |
Hemo chr insuff per dialysis |
NA |
Y |
Y |
| 90947 |
C4 |
Dialysis repeated evaluation |
NA |
Y |
Y |
| 90960 |
C4 |
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 |
NA |
Y |
Y |
| 90961 |
C4 |
End-stage renal disease (ESRD) related services monthly, for patients 20 years of age and older; with 2-3 face-to-face visits by a physician or other qualified health care professional per month |
NA |
Y |
Y |
| 90962 |
C4 |
End-stage renal disease (ESRD) related services monthly, for patients 20 years of age and older; with 1 face-to-face visit by a physician or other qualified health care professional per month |
NA |
Y |
Y |
| 90966 |
C4 |
End-stage renal disease (ESRD) related services monthly, for patients 20 years of age and older |
NA |
Y |
Y |
| 90970 |
C4 |
End-stage renal disease (ESRD) related services for dialysis less than a full month of service, per day |
NA |
Y |
Y |
| 0826 |
LO |
Hemodialysis-Outpatient Or Home-Hemodialysis-Shorter Duration |
KPNC |
Y |
Y |
| 216693 |
LO |
Peritoneal Dialysis, Manual |
KPNC |
Y |
Y |
| 216694 |
LO |
Peritoneal Dialysis, Cycler |
KPNC |
Y |
Y |
| 227218 |
LO |
Initiate Hemodialysis |
KPNC |
Y |
Y |
| Z6030 |
LO |
Home Dialysis |
KPNC |
Y |
Y |
| 224461 |
LO |
PERITONEAL DIALYSIS |
KPSC |
Y |
Y |
| 204853 |
LO |
Hemodialysis Restart, Dialysis Services |
KPNC |
Y |
Y |
| 204854 |
LO |
Hemodialysis, Dialysis Services |
KPNC |
Y |
Y |
| 248112 |
LO |
Ir Dialysis Proc |
KPNC |
Y |
Y |
| Z6004 |
LO |
Ctr Or Hosp Dialysisxcl Prof Chg-Incl.La |
KPNC |
Y |
Y |
| Z6020 |
LO |
Ctr Or Hosp Dialysis Xcl Prof Chg-Incl.L |
KPNC |
Y |
Y |