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Nephrology
Access CMS guidance for End Stage Renal Disease (ESRD), Chronic Renal Disease, and related conditions and issues through the following links:
For ESRD facilities only, view the
CMS ESRD Center
Physicians’ Guide to Medicare Coverage of Kidney Dialysis and Kidney Transplant Services
(PDF, 1.09 MB)
Other CMS Guidance:
CMS Medicare Benefit Policy Manual, Chapter 11
(PDF, 348 KB)
CMS Medicare Claims Processing Manual, Chapter 8
(PDF, 625 KB)
Nephrology
Validating the Billing of End Stage Renal Disease (ESRD) 50/50 Rule Modifier
11/04/2009
Visit Requirements Clarification for CR 5931 “Manualization of Payment for Outpatient ESRD Related Services”
09/16/2009
ESRD: Placement of a List of Diagnostic Tests that are Considered End Stage Renal Disease (ESRD)
07/14/2009
Update to List of Medicare Telehealth Services
05/06/2009
Live Kidney Donor Services
04/17/2009
End Stage Renal Disease (ESRD) & Chronic Renal Disease (CRD): Medicare Guidance
03/25/2009
ESRD: Home Dialysis Patients
03/25/2009
ESRD: Other than Home Dialysis Patients
03/25/2009
Dialysis Services (In/Outpatient) Same Date as an Evaluation & Management Service
09/30/2008
Reporting of Hematocrit or Hemoglobin Levels on All Claims for the Administration of Erythropoiesis Stimulating Agents (ESAs), Implementation of New Modifiers for Non-ESRD ESA Indications, and Reporting of Hematocrit or Hemoglobin Levels on all Non-ESRD, Non-ESA Claims Requesting Payment for Anti-Anemia Drugs
05/30/2008
Erythropoiesis Stimulating Agents (ESAs) in Cancer and Related Neoplastic Conditions
04/30/2008
last updated on 11/04/2009