Health Information Management

Healthcare News: CMS issues revised MedLearn Matters article for renal dialysis facilities

JustCoding News: Outpatient, February 24, 2010

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On February 4, CMS revised MedLearn Matters article MM6782, which is of particular interest to renal dialysis facilities. The article contains important information on some new quality data reporting for dialysis adequacy, infection, and vascular access on all end stage renal disease (ESRD) claims and all ESRD hemodialysis claims with dates of service on or after July 1.

The revisions in the article correct a “note” statement concerning the use of modifiers -V8 or -V9 with revenue codes 0821, 0831, 0841, or 0851.

The article states:

Line level codes to be reported on dialysis revenue code lines:

  • Modifier -V8: Infection present
  • Modifier -V9: No infection present

Note: Medicare systems will return to the provider 72x bill types with dates of service on or after July 1, 2010 when either the modifier -V8 or -V9 is not present on each dialysis revenue code line (0821, 0831, 0841, or 0851).

Also, the descriptions for modifiers -V5, -V6, and -V7 include additional information, according to the article. Not the following new descriptions: 

  • Modifier -V5: Any vascular catheter (alone or with any other vascular access)
  • Modifier -V6: Arteriovenous graft (or other vascular access not including a vascular catheter)
  • Modifier -V7: Arteriovenous fistula only (in use with two needles)

To learn more, access MedLearn Matters article MM6782.

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