CodeMap®  150 North Wacker Drive
Suite 1870
Chicago, IL 60606
847-381-5465 Phone
847-381-4606 Fax
customerservice@codemap.com
      


User Information

Create New Account

Lost Password

Username:
Password:


Quick Links

PLA Codes

Laboratory Fee Schedule

2019
2018

Physician Fee Schedule

2019
2018

OPPS Fee Schedule

2019
2018

ASC Fee Schedule

2019
2018

APC Codes

2019
2018

DRG Codes

2019
2018

ASP Drug Pricing Files

January 2019
October 2018


CMS Transmittals




Editor's Welcome:

Last week's Compliance Briefing on automated lab tests for ESRD patients prompted several requests for an explanation of what other tests are included in the ESRD composite rate.  One of our readers also noted that the new coding rules apply only to Medicare Fiscal Intermediaries at the present time, not Medicare Carriers. CMS should be publishing almost identical instructions to Carriers in the near future. Today's briefing covers the other composite tests and their allowed frequency for various types of dialysis. As always, please feel free to email questions, concerns, and/or suggestions.

Charles B. Root, Ph.D.

Tests included in the composite rate

The tests listed below are included in the composite rate at the indicated frequency. Tests in excess of this frequency are paid separately if they are medically necessary. Medical documentation is required to substantiate the frequency, a diagnosis of renal disease alone is not sufficient. The nature of the illness or injury (diagnosis, complaint, or symptom) requiring the performance of the additional test(....

Sorry, the full document you are trying to access requires an active subscription.

Please login to the left.


Click here for publications catalog.

--

CodeMap® is a Registered Trademark of Wheaton Partners, LLC.