Medicare Benefit Policy Manual (Pub. 100-02), Ch. 11 § 100.6.2

Uncompleted AKI Dialysis Treatment

Last amended: 2026Year: 2026Length: 134 wordsOfficial source
100.6.2 Uncompleted AKI Dialysis Treatment (Rev. 13599, Issued: 01-30-26, Effective: 05-01-26, Implementation: 05-01-26) Generally, CMS only pays for one treatment per day across all settings. However, similar to the policy applied under the ESRD PPS for treatments for patients with ESRD, if a dialysis treatment is started, that is, a patient is connected to the machine and a dialyzer and blood lines are used, but the treatment is not completed for some unforeseen, but valid reason, for example, a medical emergency when the patient must be rushed to an emergency room, both the ESRD facility and the hospital would be paid. This is considered to be a rare occurrence that must be fully documented to the A/B MAC’s satisfaction. Please see §50.A.6 of this chapter or Pub. 100-04 Chapter 8 §10.2 for additional information.
Medicare Benefit Policy Manual (Pub. 100-02), Ch. 11 § 100.6.2: Uncompleted AKI Dialysis Treatment | Justis AI