Nephrology CPT Codes for 2024 + Modifiers

Your claims could be delayed or even denied if your nephrology billing codes are inaccurate. This could cause you to miss out on collections or even flag you for an audit. Therefore, it is vitally important for you to stay up-to-date on the most recent codes and modifiers.

Nephrology CPT Code Ranges for 2024

The following codes are the updated nephrology CPT codes in 2024:

• 50080 – PRQ nephrolithotomy < 2cm.
• 50081 – PRQ nephrolithotomy > 2cm.
• 50200 – renal biopsy PRQ trocar/needle.
• 50230 – nephrectomy with open rib.
• 50240 – nephrectomy partial.
• 50250 – open ablation renal mass ultrasound.
• 50360 – renal GFR w/out nephrectomy.
• 50382 – removal and replacement of internally dwelling ureteral.
• 50384 – removal indwelling ureteral.
• 50390 – pelvis needle PRQ.
• 50630 – ureterolithotomy lower one-third ureter.
• 90960 – end-stage renal disease (ESRD) services related to dialysis, for less than a full month, for patients aged 20 and older, with four or more sessions per month.
• 90961 – ESRD-related dialysis services for less than a full month, for patients aged 20 and older, with two to three sessions per month.
• 90962 – ESRD-related dialysis services for less than a full month, for patients aged 20 and older, with one session per month.
• 90966 – ESRD-related services for full-month home dialysis, for patients aged 20 and older.
• 90967 – ESRD-related services for full-month home dialysis, for patients younger than 2 years.
• 90968 – ESRD-related services for full-month home dialysis, for patients aged 2 to 11 years.
• 90969 – ESRD-related services for full-month home dialysis, for patients aged 12 to 19 years.
• 90970 – ESRD-related services for full-month dialysis, for patients aged 20 and older.
• 90989 – complete dialysis training, any method (including hemodialysis, peritoneal dialysis, continuous renal replacement therapy), per session for a patient.
• 90993 – patient education for home hemodialysis or peritoneal dialysis programs.
• 90997 – hemodialysis services involving additional medical supervision and care coordination.
• 99221 – initial day of hospital care for the evaluation and management of a patient.
• 99223 – initial day of hospital care for the evaluation and management of a patient, involving complex decision-making.
• 93784 – ambulatory blood pressure monitoring, including setup, recording, analysis, interpretation, and reporting.
• 36245 – selective placement of a catheter in the arterial system, including the first-order branches in the abdomen, pelvis, or lower extremities.
• 75716 – bilateral extremity angiography, with radiologic supervision and interpretation.
• 82042 – quantitative albumin measurement from a 24-hour collection or a timed specimen.

Nephrology CPT Modifiers

This CPT modifier is the updated ophthalmology codes for 2024:

• -95 – telehealth
• 310 – not vaccinated against COVID-19
• 311 – partly vaccinated against COVID-19
• 39 – indicates any other under-immunized status

For informational purposes only.