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Notes

§413.374. Renal dialysis services included in the AKI dialysis payment rate.

42 C.F.R. § 413.374

(a)
The AKI dialysis payment rate applies to renal dialysis services (as defined in subparagraph (B) of section 1881(b)(14) of the Act) furnished under Part B by a renal dialysis facility or provider of services paid under section 1881(b)(14) of the Act, including home services, supplies, and equipment, and self-dialysis.
(b)
Other items and services furnished to beneficiaries with AKI that are not considered to be renal dialysis services as defined in § 413.171, but that are related to their dialysis treatment as a result of their AKI, would be separately payable, that is, drugs, biologicals, laboratory services, and supplies that ESRD facilities are certified to furnish and that would otherwise be furnished to a beneficiary with AKI in a hospital outpatient setting.
Notes, amendments, and revision history

Amendments

[81 FR 77965, Nov. 4, 2016, as amended at 89 FR 89212, Nov. 12, 2024]

Source

Source: 81 FR 77965, Nov. 4, 2016, unless otherwise noted.

Authority

Authority: 42 U.S.C. 1302, 1395d(d), 1395f(b), 1395g, 1395l(a), (i), and (n), 1395m, 1395x(v), 1395x(kkk), 1395hh, 1395rr, 1395tt, and 1395ww.

Source

Source: 51 FR 34793, Sept. 30, 1986, unless otherwise noted.

Amendments

[81 FR 77965, Nov. 4, 2016, as amended at 89 FR 89212, Nov. 12, 2024]