Medicare Claims Processing Manual (Pub. 100-04), Ch. 12 § 90.2.1
Inpatient Hospital Visits With Dialysis Patients
90.2.1 - Inpatient Hospital Visits With Dialysis Patients
(Rev. 1, 10-01-03)
B3-15062-15062.1
Global billing practices that involve the submission of charges for each day that a patient is
hospitalized are allowed. Therefore, A/B MACs (B) may make payment for inpatient hospital
visits that are specified relative to time, place, day, and services directly provided to inpatients.
This guideline may, however, differ with respect to daily visit charges for inpatient hospital
visits with dialysis inpatients. When an ESRD patient is hospitalized, the hospitalization may
or may not be due to a renal-related condition. In either case, the patient must continue to be
dialyzed.
Chapter 8 provides policy and payment instructions for physicians’ services furnished to
dialysis inpatients. It also provides instructions for billing physicians’ renal-related medical
services furnished on dialysis days and for dialysis and evaluation and management services
performed on the same day.