Calculation for Double Amputee Dialysis Patients

20.1.1 - Calculation for Double Amputee Dialysis Patients (Rev. 1389; Issued: 12-07-07; Effective: 01-01-08; Implementation: 01-07-08) For dialysis treatments on or after January 1, 2006, we are revising the reporting requirements for value codes A8 and A9 for double amputee dialysis patients. Weight should be calculated based on pre-amputation weight using the following formula: Pre-amputation weight = Actual weight x 1.15 Example: Current weight for double amputee patient = 75.5 kg. Pre-Amputation weight = 75.5 x 1.15 = 89kg. The results should be reported under value code A8. Height should be reported under value code A9 as pre-amputation height. Where feasible this measurement may be obtained from Form 2728.