Course Code: REL-RCC-AMA-060
Hours: 1.5
Type: Online Course
Content Expiration Date: 12/31/2026
Learning Objectives:
Discuss the different types of dialysis procedures and end-stage renal disease (ESRD) services in the Current Procedural Terminology (CPT®) code set.
Describe the basic format of the codes for dialysis and ESRD procedures and services in CPT.
Recognize key documentation elements for coding dialysis and ESRD procedures.
Apply the CPT coding guidelines to assign codes for common dialysis and ESRD procedures.
Identify the correct modifier when modifier assignment is appropriate.
Outline:
Section 1: Introduction
About This Course
Learning Objectives
Section 2: Overview
Nephrology Services Overview
Kidney Anatomy and Function
Dialysis Circuit Anatomy
End-Stage Renal Disease (ESRD)
Dialysis and ESRD Procedures
Documentation Elements
Review
Section 3: Format and Guidelines
Dialysis and ESRD Procedure Codes
CPT Coding Guidelines
Dialysis Circuit Guidelines
ESRD Services Guidelines
Other Coding Guidelines
Common Modifiers
Review
Section 4: Coding Dialysis and ESRD Procedures
Dialysis and ESRD Coding Scenarios
Section 5: Coding Application: Dialysis and ESRD Procedures
Case Study 1
Case Study 2
Case Study 3
Case Study 4
Case Study 5
Section 6: Conclusion
Course Summary
Course Contributors
Resources
References
Instructor: Sarah A. Serling, CCS, CPC, COC, CRC, CCS-P, CEMC, CPC-I, ICD-10-CM/PCS Trainer
Sarah is a Subject Matter Expert/Writer for Relias's Revenue Cycle and Coding online education. Sarah is credentialed by AHIMA as a Certified Coding Specialist (CCS) and Certified Coding Specialist Physician-based (CCS-P), as well as an approved ICD-10-CM/PCS Trainer. She is also credentialed by AAPC as a Certified Professional Coding Instructor (CPC-I), a certified professional coder (CPC), a certified outpatient hospital coder (COC), and a Certified Risk Adjustment Coder (CRC), with specialty certification in Evaluation and Management Services (CEMC). Sarah extensive experience in both professional and facility ICD-10-CM/PCS, CPT, and HCPCS coding, education, auditing, and revenue cycle management. She has clinical experience as an Emergency Medical Technician (EMT) and Medical Assistant (MA) and has served as Director of Physician Billing and Reimbursement for a regional health system, Manager of Coding and Compliance for a hospital and cancer center, and Business Manager of Physician Practices at a teaching hospital, as well as a coding auditor and consultant. Sarah has also authored several coding textbooks, and other instructional resources.
Reviewer: Andrei Besleaga, BS, RHIT
Andrei is a healthcare coding analyst in the CPT Education and Information Services Department at the American Medical Association, a staff writer for CPT Assistant, and a contributing author of the Principles of CPT Coding textbook. He has been a Registered Health Information Technician since 2009 and an active AHIMA member. He has gathered experience and developed skills by working in health insurance, at third-party payers, and in top-ranked national health care organizations. He completed an AAS in Health Information Technology from DeVry University in 2008 and a BS in Biology from Georgia Gwinnett College in 2015. In his spare time Andrei enjoys traveling, reading, playing the piano and the pipe organ.
Reviewer: Arletrice A. Watkins, MHA, RHIA
Arletrice is a senior healthcare coding analyst in the CPT Education and Information Services Department and staff writer for CPT Assistant. She supports and assists with other department projects on an as-needed basis, and she is also a contributing author of the Principles of CPT Coding. She has been with the AMA for over 14 years. She has been an educator since 2002 in health information technology (HIT) and is currently a health care administration adjunct instructor at an online university. She earned a BS in Health Information Administration from the University of Illinois at Chicago, IL, and a Masters of Healthcare Administration from the University of Phoenix, AZ. She is also certified as a registered health information administrator from the American Health Information Management Association (AHIMA), as well as an AHIMA-approved ICD-10 CM/ PCS trainer.
Target Audience:
The target audience for this course is: Healthcare Billing and Coding; in the following settings: Hospitals: Acute.
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All courses offered by Relias Learning, LLC are developed from a foundation of diversity, inclusiveness, and a multicultural perspective. Knowledge, values and awareness related to cultural competency are infused throughout the course content.
To earn continuing education credit for this course you must achieve a passing score of 80% on the post-test and complete the course evaluation.
Course Delivery Method and Format
Asynchronous Distance Learning with interactivity which includes quizzes with questions/answers, and posttests.