In-Facility Back-Up Dialysis

50.6 - In-Facility Back-Up Dialysis (Rev. 10640, Issued:08-06-21, Effective:09-07-21, Implementation:09-07-21) Back-up dialysis is an in-facility dialysis treatment furnished to a home dialysis patient. Condition code 76 must appear as one entry in Form Locators (FLs) 24-30. The facility must explain why any in-facility backup dialysis sessions (furnished on either an inpatient or outpatient basis) are furnished to home dialysis patients who are covered under the Prospective Payment System (PPS) base rate. If a backup session is furnished because of a failure to furnish any of the required items or services, then it will be covered only to the extent of a home dialysis session and reimbursed at the facility’s PPS base rate. If the backup dialysis is furnished by an institution other than the home patient’s End Stage Renal Disease (ESRD) facility, then the ESRD facility must assume financial liability for any cost or charge in excess of the ESRD facility’s PPS base rate except where the patient is traveling away from home.