Code of Massachusetts Regulations
101 CMR - EXECUTIVE OFFICE FOR HEALTH AND HUMAN SERVICES
Title 101 CMR 337.00 - Rates for Dialysis Treatments and Home Dialysis Supplies
Section 337.03 - Rate(s) Determination
Current through Register 1531, September 27, 2024
(1) Rates paid to providers will be subject to the following adjustments and limitations.
(2) Rates for Dialysis Treatment and Treatment for Acute Kidney Injuries.
Procedure Code |
Description |
Rate |
90999 |
Unlisted dialysis procedure, inpatient or outpatient (all-inclusive service per dialysis treatment per patient) |
$204.94 |
G0491 |
Dialysis procedure at a Medicare certified end stage renal disease (ESRD) facility for acute kidney injury without ESRD |
$204.94 |
The all-inclusive rate identified in 101 CMR 337.03(2) covers all services and supplies as defined in 42 CFR § 410.50, with the exception of physician services and applicable procedure codes in 101 CMR 337.03(3).
(3) The following codes and add-ons must be used when the treatment includes these services:
Procedure Code |
Description |
Rate |
90989 |
Dialysis training, patient, including helper where applicable, any mode, completed course |
$20.00 |
90993 |
Dialysis training, patient, including helper where applicable, any mode, course not completed, per training session |
$20.00 |
J0604 |
Cinacalcet, oral, 1 mg (for ESRD on dialysis) |
$0.01 |