Medicare Benefit Policy Manual (Pub. 100-02), Ch. 11 § 100
Payment for Renal Dialysis Services Furnished to
100 - Payment for Renal Dialysis Services Furnished to
Individuals with Acute Kidney Injury (AKI)
(Rev. 13599, Issued: 01-30-26 , Effective: 05-01-26, Implementation: 05-01-26 )
On June 29, 2015, the Trade Preferences Extension Act of 2015 (TPEA) (Pub. L. 114-27)
was enacted. In the TPEA, Congress amended the Social Security Act (the Act) to
include coverage and provide for payment for dialysis furnished by an ESRD facility to
an individual with AKI. Specifically, section 808(a) of the TPEA amended section
1861(s)(2)(F) of the Act by including coverage for renal dialysis services furnished on or
after January 1, 2017, by a renal dialysis facility or provider of services currently paid
under section 1881(b)(14) of the Act to an individual with AKI. In addition, section
808(b) of the TPEA amended section 1834 of the Act by adding a new subsection (r).
Subsection (r)(1) of section 1834 of the Act provides that in the case of renal
dialysis services (as defined in subparagraph (B) of section 1881(b)(14) of the
Act) furnished under Part B by a renal dialysis facility or a provider of services
paid under such section during a year (beginning with 2017) to an individual
with AKI, the amount of payment under Part B for such services shall be the
base rate for renal dialysis services determined for such year under such
section, as adjusted by any applicable geographic adjustment applied under
subparagraph (D)(iv)(II) of such section and may be adjusted by the Secretary
(on a budget neutral basis for payments under section 1834(r)