Question:
I am looking for Medicare billing instructions for calcimimetics delivered for AKI in an ESRD facility. Do you know where this information can be found?
Answer:
One place to find this answer is in transmittal 1941 (issued on October 27, 2017). In this one-time notification (OTN), the Centers for Medicare & Medicaid Services (CMS) provide details on its transitional drug add-on payment adjustment (TDAPA) policy for patients with acute kidney injury (AKI) who are treated in a hospital-based and freestanding end-stage renal disease (ESRD) facility. For this transmittal, go to https://www.cms.gov/Regulations-and-Guidance/Guidance/Transmittals/2017Downloads/R1941OTN.pdf.
CPT® copyright 2024 American Medical Association (AMA). All rights reserved.
Fee schedules, relative value units, conversion factors and/or related components are not assigned by the AMA, are not part of CPT, and the AMA is not recommending their use. The AMA does not directly or indirectly practice medicine or dispense medical services. The AMA assumes no liability for data contained or not contained herein.
CPT is a registered trademark of the American Medical Association.
Subscribe to receive our News, Insights, and Compliance Question of the Week delivered right to your inbox.
Address: 5874 Blackshire Path, #13, Inver Grove Heights, MN 55076
Phone: (800) 252-1578
Email: support@medlearnmedia.com
Hours: 9am – 5pm CT
Copyright © 2025 MedLearn Publishing. Powered by MedLearn Media.
Unlock 50% off all 2024 edition books when you order by July 5! Use the coupon code CO5024 at checkout to claim this offer!
CYBER WEEK IS HERE! Don’t miss your chance to get 20% off now until Dec. 2 with code CYBER24