ESRD Services

20.2.1.1 - ESRD Services (Rev. 1252, Issued: 05-25-07; Effective: 10-01-06; Implementation: 08-27-07) Home dialysis supplies and equipment, self-care home dialysis support services, and institutional dialysis services and supplies (other than those that are furnished or arranged for by the SNF itself) are not included in the Part A PPS payment. They may be billed separately to the A/B MAC (A) by the hospital or ESRD facility as appropriate. Specific coding is used to differentiate dialysis and related services that are excluded from SNF consolidated billing for ESRD beneficiaries in three cases: 1. When the services are provided in a renal dialysis facility (RDF) (including ambulance services to and from the RDF if medically necessary); 2. Home dialysis when the SNF constitutes the home of the beneficiary; and 3. When ESA drugs are used for ESRD beneficiaries in conjunction with dialysis, and given by the RDF. Note that SNFs may not be paid for home dialysis supplies.