Coverage expanded to include certain ESRD monitoring codes through telemedicine

Why This Topic Matters

The update affects how ESRD monitoring visits may be delivered and billed under Medicare, especially for patients and providers in rural areas. It also clarifies related telehealth participation, originating site considerations, and a referenced Medicare manual transmittal.

Article Sections

1. Telemedicine coverage update for ESRD monitoring

   Overview of CMS’s expansion of telehealth availability for selected ESRD monthly monitoring services and the reason for the change.

2. Included and excluded ESRD monitoring services

   Summary of the ESRD monitoring G code groups discussed in the update, including which services are available through telemedicine and which are not.

3. Originating site and billing considerations

   General discussion of where the patient may be located, which kinds of facilities are recognized, and the billing context tied to the telemedicine service.

4. Reaction from nephrology stakeholders

   Comments from professional groups and practice representatives about the impact of the policy change and related site-of-service concerns.

5. ESRD monthly monitoring codes

   A reference table organizing ESRD monthly monitoring services by patient age group and visit frequency.