Guest guest Posted March 21, 2012 Report Share Posted March 21, 2012 When calling to get preauthorization for Initial Evaluation, I use 50360 for the kidney transplant. The diagnosis code I use is 585.5 is not on dialysis or 585.6 if they are and V42.0. Thanks,Sam Vazquez Kidney Transplant Financial Coordinator Providence Sacred Heart Medical Center Kidney Transplant Program 105 W Eighth Ave Suite 1000 Spokane, WA 99204 Tel: / Fax: samantha.vazquez@... This electronic transmission and any documents accompanying this electronic transmission may contain information that is confidential and/or legally privileged. The information is intended only for the use of the individual or entity named above. If you are not the intended recipient, you are hereby notified that any disclosure, copying, distribution or the taking of any action in reliance on or regarding the contents of this electronically transmitted information is strictly prohibited. If you have received this e-mail in error, please notify the sender and delete this message immediately. From: TxFinancialCoordinators [mailto:TxFinancialCoordinators ] On Behalf Of amy.hackney@...Sent: Wednesday, March 21, 2012 8:44 AMTo: TxFinancialCoordinators Subject: CPT code for kidney eval Can someone please provide me with the CPT code for a kidney transplant evaluation? Thanks! Amy Hackney, MBA Manager, Transplant Reimbursement Tulane Transplant Institute Tulane Medical Center Phone Fax TFCA, President This message is intended for the sole use of the addressee, and may contain information that is privileged, confidential and exempt from disclosure under applicable law. If you are not the addressee you are hereby notified that you may not use, copy, disclose, or distribute to anyone the message or any information contained in the message. If you have received this message in error, please immediately advise the sender by reply email and delete this message. Quote Link to comment Share on other sites More sharing options...
Guest guest Posted March 21, 2012 Report Share Posted March 21, 2012 Our MD’s bill out the appropriate level E/M service for the initial evaluation. Deidra M. Simano Transplant Operations Analyst Department of Transplant Surgery Dartmouth-Hitchcock Lebanon Phone: (603) 653.3689 / Fax: (603) 676.4287 Transplant Secretary (603) 653.3931 Dartmouth-Hitchcock.org From: TxFinancialCoordinators [mailto:TxFinancialCoordinators ] On Behalf Of Vazquez, L. Sent: Wednesday, March 21, 2012 11:49 AM To: TxFinancialCoordinators Subject: RE: CPT code for kidney eval When calling to get preauthorization for Initial Evaluation, I use 50360 for the kidney transplant. The diagnosis code I use is 585.5 is not on dialysis or 585.6 if they are and V42.0. Thanks, Sam Vazquez Kidney Transplant Financial Coordinator Providence Sacred Heart Medical Center Kidney Transplant Program 105 W Eighth Ave Suite 1000 Spokane, WA 99204 Tel: / Fax: samantha.vazquez@... This electronic transmission and any documents accompanying this electronic transmission may contain information that is confidential and/or legally privileged. The information is intended only for the use of the individual or entity named above. If you are not the intended recipient, you are hereby notified that any disclosure, copying, distribution or the taking of any action in reliance on or regarding the contents of this electronically transmitted information is strictly prohibited. If you have received this e-mail in error, please notify the sender and delete this message immediately. From: TxFinancialCoordinators [mailto:TxFinancialCoordinators ] On Behalf Of amy.hackney@... Sent: Wednesday, March 21, 2012 8:44 AM To: TxFinancialCoordinators Subject: CPT code for kidney eval Can someone please provide me with the CPT code for a kidney transplant evaluation? Thanks! Amy Hackney, MBA Manager, Transplant Reimbursement Tulane Transplant Institute Tulane Medical Center Phone Fax TFCA, President This message is intended for the sole use of the addressee, and may contain information that is privileged, confidential and exempt from disclosure under applicable law. If you are not the addressee you are hereby notified that you may not use, copy, disclose, or distribute to anyone the message or any information contained in the message. If you have received this message in error, please immediately advise the sender by reply email and delete this message. IMPORTANT NOTICE REGARDING THIS ELECTRONIC MESSAGE: This message is intended for the use of the person to whom it is addressed and may contain information that is privileged, confidential, and protected from disclosure under applicable law. If you are not the intended recipient, your use of this message for any purpose is strictly prohibited. If you have received this communication in error, please delete the message and notify the sender so that we may correct our records. Quote Link to comment Share on other sites More sharing options...
Guest guest Posted March 21, 2012 Report Share Posted March 21, 2012 There isn't one CPT code to use for the recipient evaluation. You need the codes for each individual test that you perform. The 50360 is the transplant CPT we provide when obtaining auth for the actual transplant. We will send a list of all the testing required to the plan so they can approve. Debbie Mast Database Administrator/Financial ManagerSolid Organ Transplants/VAD program Our MD’s bill out the appropriate level E/M service for the initial evaluation. Deidra M. SimanoTransplant Operations AnalystDepartment of Transplant SurgeryDartmouth-Hitchcock LebanonPhone: (603) 653.3689 / Fax: (603) 676.4287Transplant Secretary (603) 653.3931Dartmouth-Hitchcock.org <image001.png> From: TxFinancialCoordinators [mailto:TxFinancialCoordinators ]On Behalf Of Vazquez, L.Sent: Wednesday, March 21, 2012 11:49 AMTo: TxFinancialCoordinators Subject: RE: CPT code for kidney eval When calling to get preauthorization for Initial Evaluation, I use 50360 for the kidney transplant. The diagnosis code I use is 585.5 is not on dialysis or 585.6 if they areand V42.0. Thanks,Sam Vazquez Kidney Transplant Financial CoordinatorProvidence Sacred Heart Medical CenterKidney Transplant Program105 W Eighth Ave Suite 1000Spokane, WA 99204Tel: / Fax: (509) 474-4487samantha.vazquez@...This electronic transmission and any documents accompanying this electronic transmission may contain information that is confidential and/or legally privileged. The information is intendedonly for the use of the individual or entity named above. If you are not the intended recipient, you are hereby notified that any disclosure, copying, distribution or the taking of any action in reliance on or regarding the contents of this electronicallytransmitted information is strictly prohibited. If you have received this e-mail in error, please notify the sender and delete this message immediately. From: TxFinancialCoordinators [mailto:TxFinancialCoordinators ]On Behalf Of amy.hackney@...Sent: Wednesday, March 21, 2012 8:44 AMTo: TxFinancialCoordinators Subject: CPT code for kidney eval Can someone please provide me with the CPT code for a kidney transplant evaluation?Thanks!Amy Hackney, MBAManager, Transplant ReimbursementTulane Transplant InstituteTulane Medical Center Phone FaxTFCA, President This message is intended for the sole use of the addressee, and may contain information that is privileged, confidential and exempt from disclosure under applicablelaw. If you are not the addressee you are hereby notified that you may not use, copy, disclose, or distribute to anyone the message or any information contained in the message. If you have received this message in error, please immediately advise the senderby reply email and delete this message.IMPORTANT NOTICE REGARDING THIS ELECTRONIC MESSAGE:This message is intended for the use of the person to whom it is addressed and may contain information that is privileged, confidential, and protected from disclosure under applicable law. If you are not the intended recipient, your use of this message forany purpose is strictly prohibited. If you have received this communication in error, please delete the message and notify the sender so that we may correct our records. Quote Link to comment Share on other sites More sharing options...
Guest guest Posted March 21, 2012 Report Share Posted March 21, 2012 V72.83 From: TxFinancialCoordinators [mailto:TxFinancialCoordinators ] On Behalf Of amy.hackney@... Sent: Wednesday, March 21, 2012 10:44 AM To: TxFinancialCoordinators Subject: CPT code for kidney eval Can someone please provide me with the CPT code for a kidney transplant evaluation? Thanks! Amy Hackney, MBA Manager, Transplant Reimbursement Tulane Transplant Institute Tulane Medical Center Phone Fax TFCA, President ***********************************************************************This electronic transmission contains information from Methodist HealthSystem and should be considered confidential and privileged. Theinformation contained in the above messages is intended only for theuse of the individual(s) and entity(ies) named above. If you are not theintended recipient, be aware that any disclosure, copying, distribution,or use of this information is prohibited. If you receive this transmissionin error, please notify the sender immediately by return e-mail.Methodist Health System, its subsidiaries and affiliates hereby claim allapplicable privileges related to the transmission of this communication. Quote Link to comment Share on other sites More sharing options...
Guest guest Posted March 22, 2012 Report Share Posted March 22, 2012 CPT for Kidney Transplant Eval 99211 From: TxFinancialCoordinators [mailto:TxFinancialCoordinators ] On Behalf Of amy.hackney@...Sent: Wednesday, March 21, 2012 11:44 AMTo: TxFinancialCoordinators Subject: CPT code for kidney eval Can someone please provide me with the CPT code for a kidney transplant evaluation? Thanks! Amy Hackney, MBA Manager, Transplant Reimbursement Tulane Transplant Institute Tulane Medical Center Phone Fax TFCA, President Quote Link to comment Share on other sites More sharing options...
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