42 CFR § 413.374 Principles of Reasonable Cost Reimbursement; Payment for End-Stage Renal Disease Services; Prospectively Determined Payment Rates for Skilled Nursing Facilities; Payment for Acute Kidney Injury Dialysis

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

Current through Oct 8, 2026 · Read all of Part 413

(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.

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

← § 413.373 Other adjustments to the AKI dialysis payment rate.§ 413.375 Notification of changes in rate-setting methodologies and payment rates. →