Physicians and Supplier (Nonfacility) Billing for ESRD Services -

130 - Physicians and Supplier (Nonfacility) Billing for ESRD Services - General (Rev. 3053, Issued: 08-28-14, Effective: ICD-10: Upon Implementation of ICD-10; ASC X12: 01-01, 12, Implementation ICD-10: Upon Implementation of ICD-10; ASC X12: 09-30-14) Payment for renal-related physicians’ services to ESRD patients is made in either of the following ways: • Under the Monthly Capitation Payment (MCP) (see §140 below for an explanation of the MCP); or • Using the daily codes for ESRD services (CPT codes 90922-90925) with units that represent the number of days services were furnished. • Under the Initial method (IM) The A/B MAC (B) receives bills from physicians for services furnished ESRD beneficiaries. The A/B MAC (A) receives bills from ESRD facilities. Lab bills from CLIA certified independent dialysis facilities were billed to the A/B MAC (B) before September 1, 1997, and to the A/B MAC (A) beginning on that date. Other certified labs bill the A/C MAC (B).