Return of ESRD codes in proposal is an error

Why This Topic Matters

ESRD billing is sensitive to fee schedule updates and code status changes, and mistaken assumptions about active codes can lead to claim errors. The article helps readers understand which Medicare policy changes are proposed, which are being corrected, and what operational issues may affect monthly ESRD service billing.

Article Sections

1. ESRD code status and Medicare fee schedule update

   Discusses a proposed fee schedule issue involving ESRD-related CPT code status and a CMS correction. Covers the broader transition between legacy CPT coding and Medicare payment codes.

2. Observation status change

   Summarizes a proposed policy change affecting whether hospital observation encounters may count toward monthly ESRD visit totals. Notes the operational impact on nephrology practices and payer handling.