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A 20-month-old with end-stage renal disease was receiving dialysis twice a week, awaiting a kidney transplant. During the last month of life, the patient received dialysis once per day. Dialysis was administered between June 1 and June 14. The patient’s parents received daily face-to-face counseling regarding the patient’s care and ESRD status. What is the correct code for the patient’s dialysis care?
  1. 90968 (X14)
  2. 90960
  3. 90967 (X14)
  4. 90964
Explanation
Answer: C - The correct code for the patient’s dialysis care is 90967 (X14) (ESRD-related Services for Dialysis Less than an Full Month of Service, Per Day; for Patients Younger than 2 Years of Ages).Code 90967 (X14) is used because the patient only received dialysis services from June 1 to June 14. In addition, code 90967 (X14) needs to be reported with 14 units, in reference to the 14 individual days of service.
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