Healthcare Common Procedure Coding System (HCPCS) Procedure Codes and

20.2 - Healthcare Common Procedure Coding System (HCPCS) Procedure Codes and Applicable Diagnosis Codes (Rev. 2998, Issued: 07-25-14, Effective: Upon implementation of ICD-10; 01-01-12 - ASC X12, Implementation: 08-25-2014 - ASC X12; Upon Implementation of ICD-10) Effective for services performed on and after January 1, 2010, the following new HCPCS codes have been created for KDE services when provided to patients with stage IV CKD. • G0420: Face-to-face educational services related to the care of chronic kidney disease; individual, per session, per one hour • G0421: Face-to-face educational services related to the care of chronic kidney disease; group, per session, per one hour When billing for KDE services the applicable ICD diagnosis code shall be used: • If ICD-9-CM is applicable, ICD-9-CM - 585.4 (chronic kidney disease, Stage IV (severe)), or • If ICD-9-CM is applicable, ICD-10-CM – N18.4 (Chronic Kidney Disease, stage 4. NOTE: Claims with HCPCS codes G0420 or G0421 and ICD-9 code 585.4, if applicable, or, if ICD -10 is applicable, ICD-10 code N18.4 that are billed for KDE services are not allowed on a professional and institutional claim on the same service date.