CKD Billing Services for Nephrology Practices
Transcure assigns AAPC-certified coders and dedicated CKD billing AI agents to every nephrology account. Our CKD billing team stops revenue leaks across all six CKD stages, AKI, ESRD transitions, cardiorenal syndrome, and co-morbidity management claims.
- CKD Stage-Specific ICD-10 Coding (N18.1–N18.6) with accurate progression tracking and comorbidity capture
- AI-Powered CKD RCM (ELIXA, PRIA, CODIN, DEXA) covering eligibility, prior auth, coding, and denial recovery
- CMS Chronic Care Management (CCM) Billing (CPT 99490–99491) with time-based documentation validation
- CKD Denial Prevention using precise modifier application, medical necessity documentation, and payer-specific rules
- Medicare ESRD Transition Billing with 30-month coordination period management and dual-eligibility coordination
Our Success in Numbers
Trusted by
500+ Physicians
Catering to
40+ Specialties
1100+ Certified
Medical Billers & Coders
End-to-End
RPA Billing Solutions
Up to 98% First Pass
Clean Claim Rate
Nephrology Practices That Have Put Trust in the Transcure Billing Team
Many nephrology practices have trusted the Transcure billing team for their revenue cycle management needs. Over the years, we have partnered with a wide range of providers, from small independent nephrologists to large multi-location renal care groups. Some of the prominent ones include:
What CKD Billing Services Does Transcure Deliver to Nephrology Practices?
Transcure provides end-to-end CKD billing built for nephrology practices, not adapted from general medicine workflows. Each service below addresses a specific revenue leak in the CKD billing cycle:
How Transcure Cleared Idaho Kidney Institute's CKD Billing Backlog by 67% in 90 Days?
Idaho Kidney Institute carried a $300,000 backlog of unpaid CKD and dialysis claims sitting in the 60+ day A/R bucket. The root causes were denied ESRD claims, eligibility gaps on dialysis-dependent patients, CKD stage miscoding, and monthly capitation payment errors that payers flagged for clinical validation.
Transcure assigned a dedicated nephrology billing team to IKI’s account. The team audited the backlog, corrected CKD stage codes across active denials, resolved ESRD-to-dialysis transition coding errors, and resubmitted claims with complete documentation. Within 90 days, IKI’s backlog dropped from $300,000 to $100,000. Billing burden dropped 67%. Reimbursement cycles shortened. And the practice stopped losing revenue it had already earned.
What CKD-Related Procedures Does Transcure Bill?
Transcure handles the full range of CKD-related procedures and office-based nephrology services, including but not limited to:
CKD Office Visit and E/M Billing
We code CKD-focused office visits (99202–99215) with correct medical decision-making complexity reflecting CKD stage, comorbidity burden, and medication management complexity. Undercoding E/M levels is one of the most common CKD revenue leaks we fix.
Renal Biopsy Billing
Transcure manages percutaneous renal biopsy claims (CPT 50200), image-guided biopsy variants, and pathology interpretation codes with correct professional and technical component splitting, authorization confirmation, and modifier application.
Kidney Ultrasound and Renal Imaging Billing
We handle renal ultrasound (76775, 76770), Doppler studies (93975), and CT/MRI renal imaging claims with correct diagnosis linkage to CKD staging codes and payer authorization requirements.
Anemia Management Infusion Billing
Transcure bills ESA administration, IV iron infusions, and related drug administration codes with accurate HCPCS drug codes, administration CPT codes, units of service, and medical necessity documentation requirements.
CKD Nutrition Counseling Billing
Medical nutrition therapy for CKD (CPT 97802–97804) requires specific provider type, diagnosis linkage to N18.x codes, and Medicare coverage verification. Transcure handles all three to prevent nutrition therapy denials.
Hypertension and Diabetes Co-Management Billing
CKD patients with diabetic nephropathy (E11.65) or hypertensive CKD (I12.9) require careful dual-diagnosis coding. Transcure ensures comorbidity codes are billed at the correct specificity to support risk adjustment and care management reimbursement.
Nephrology Billing Services Serving Every State in the United States
Transcure offers expert nephrology billing services across the United States. Our remote operations and local presence enable us to serve nephrology practices nationwide, including the following states.
Our Expertise in CKD ICD-10, CPT, and HCPCS Codes
Years of CKD billing experience mean our coders apply the right code the first time. Our coding expertise spans:
N18.1 to N18.6
- CKD stage-specific ICD-10 codes
N18.9
- ICD-10 code for CKD, unspecified stage
E11.65
- Type 2 diabetes with hyperglycemia
I12.9
- ICD-10 code for hypertensive chronic kidney disease (Stage 1–4 CKD without heart failure)
I13.10
- ICD-10 code for hypertensive heart and chronic kidney disease (Stage 1–4 CKD without congestive heart failure)
Z99.2
- ICD-10 code for dependence on renal dialysis in ESRD patients
99213 to 99215
- Office visit E/M CKD follow-ups
99490 to 99491
- Chronic Care Management services
J0881 / J0885
- HCPCS codes for ESA injections
Stop Losing CKD Revenue to Undercoding and Missed Comorbidities
Get a free CKD billing audit. Transcure’s team will review 30 days of your nephrology practice’s claims, identify missed staging codes and undercaptured comorbidities costing you revenue, and deliver a recovery plan within 5 business days.
Why Nephrology Practices Trust Transcure for CKD Billing Services?
CKD billing requires coders who understand GFR thresholds, albuminuria categories, KDIGO classification, and ESRD transition rules. Transcure brings all four:
CKD-Exclusive Coding Expertise
Transcure’s CPC and CCS-certified coders work only on nephrology accounts. They understand GFR-based staging, etiology-specific ICD-10 hierarchies, and comorbidity interaction rules that affect both reimbursement and risk-adjusted revenue for CKD populations.
Transparent Percentage-Based Pricing
Transcure charges 3–5% of monthly collections for CKD billing services. No setup fees and no long-term contracts, which means your practice pays only when Transcure collects.
Dedicated CKD Billing Account Manager
Every nephrology practice gets a dedicated CKD billing account manager available 24/7. No ticket queues, no offshore handoffs. One contact who knows your payer mix, your CKD population, and your denial patterns.
Full Regulatory Compliance
Our team operates under HIPAA, ISO 27001, SOC 2, and CMS dialysis billing regulations. We also conduct regular internal audits, compliance checks, and quality reviews to ensure coding accuracy.
48-Hour Claim Turnaround
Transcure processes nephrology claims within 48 hours of submission. That turnaround applies to dialysis management claims, monthly capitation payments, and vascular access procedure claims, not just standard E/M encounters.
High Claim Accuracy
Your CKD practice can achieve up to 99.99% claim accuracy through AI agents. Our AI-powered claim scrubbing identifies CKD-specific coding errors, modifier issues, and NCCI edits before submission
Our Certifications
Transcure’s nephrology billing team holds industry-recognized certifications to make sure that renal claims meet CMS compliance standards and payer-specific coding requirements.
CKD-Compatible EHR Systems Supported by Transcure
Transcure integrates directly with the EHR and nephrology practice management platforms your team already uses. Our coders pull CKD documentation, GFR values, and visit notes from your existing system without disrupting clinical workflows.
Retaining the Trust Over the Years
Our goal is to deliver the top-tier CKD. The trust we gain over the years is just reflecting what we can do for gastro practices.
Frequently Asked Questions About CKD Billing
Get answers to the most common questions nephrology practices ask about our CKD billing services.
How much does Transcure charge for CKD billing services?
Transcure charges between 3% and 5% of monthly collections for CKD billing services. The rate depends on practice size, claim volume, payer mix, and CKD population complexity. There are no setup fees or long-term contracts. You pay only when Transcure collects.
Can you work with my existing EHR and practice management software?
Yes, Transcure integrates with 40+ EHR, practice management, and medical billing platforms. Our team works within your existing system whenever possible to ensure there is no disruption to your workflow.
Do you guarantee performance improvements?
Yes, we aim to deliver up to a 99.99% clean claim rate with denial rates around 1% or lower through AI-driven billing workflows. Most facilities also see AR days reduced to about 24 days and overall AR improvement of nearly 30%.
How do you ensure compliance with Medicare and commercial payer requirements?
Our billing specialists stay current with CMS regulations, ICD-10 updates, CPT coding changes, and payer policies. We conduct ongoing quality checks to maintain compliance and reduce audit risk.
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