Calculating Payment for Intermittent Peritoneal Dialysis (IPD)

80.3 - Calculating Payment for Intermittent Peritoneal Dialysis (IPD) (Rev. 10640, Issued:08-06-21, Effective:09-07-21, Implementation:09-07-21) The value of a typical week of dialysis services generally serves as the maximum weekly payment;. While maintenance IPD is usually accomplished in sessions of 10-12 hours duration, three times per week, it is sometimes accomplished in fewer sessions of longer duration. Regardless of the particular regimen used, under the ESRD PPS IPD is paid based on a weekly equivalence of three ESRD PPS payments rates per week. IPD in the home is accomplished according to any one of several schedules. The total weekly dialysis time varies from 50 to 80 hours. For example, home IPD may be furnished every day for 10 hours per day, every other day for 15 hours per dialysis day, every night for 8 hours per night, etc. Regardless of the particular regimen used, under the ESRD PPS home IPD is paid based on a weekly equivalence of three ESRD PPS rates per week. Line item billing is required for all dialysis sessions. For intermittent home dialysis the facility submits a separate line item for each dialysis session using the dates in the pre- determined plan of care and the units reported on each line should be one. In the event that the schedule was changed, the provider should note the changes in the medical record and bill according to the revised schedule.