How To Bill Modifier V5, Modifier V6 & Modifier V7
Modifier V5, Modifier V6, and Modifier V7 are described by HCPCS to report the type of vascular access used by the provider during a hemodialysis procedure on a patient with End Stage Kidney Disease (ESRD).
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1. Modifier V5
Modifier V5 can be appended by providers to report using a vascular catheter during hemodialysis on a patient with ESRD (End Stage Renal Disease). The catheter can be used with another vascular access or by itself.
1.1 Description
The V5 Modifier is described by HCPCS as: “Vascular catheter (alone or with any other vascular access).”
1.2 Billing Guidelines
Report modifier V5 for the type of vascular access the provider uses for hemodialysis on a patient with ESRD.
This modifier can be billed when the provider used a vascular catheter for this service. It can be used with or without another vascular access.
Modifier V5 needs to be billed with Hemodialysis revenue code 0821.
2. Modifier V6
Modifier V6 can be appended for a provider that used an arteriovenous graft (or another vascular access) to perform hemodialysis with ESRD. The arteriovenous graft can be used by itself or in combination with another vascular access.
2.1 Description
The V6 modifier is described by HCPCS as: “Arteriovenous graft (or other vascular access not including a vascular catheter).”
2.2 Billing Guidelines
The V6 modifier can be used to report the type of vascular access that is used by a provider for the delivery of hemodialysis to an ESRD patient.
This modifier can only be reported if the provider used an arteriovenous graft (or another vascular access) for the hemodialysis service.
The arteriovenous graft is used by the provider during the hemodialysis service. It connects an an artery to a vein with organic material from animal or human or a soft plastic tube. This is used to return or remove blood during this procedure.
3. Modifier V7
Modifier V7 can be reported for Arteriovenous fistula only. The provider used two needles during a hemodialysis procedure for an ESRD patient.
3.1 Description
The V7 modifier is described by HCPCS as: “Arteriovenous fistula only (in use with two needles).”
3.2 Billing Guidelines
Modifier V7 can be used to report the use of an arteriovenous fistula with two needles during the delivery of hemodialysis to an ESRD patient.
Modifier V7 can be used for hemodialysis revenue code 0821 for Hemodialysis.
Go back to the list with all HCPCS modifiers.
