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End Stage Renal Disease (ESRD) Treatment Choices (ETC) Model Demo Priorities - Additional Updates

The purpose of this Change Request (CR) is to include an additional correction to address the incorrect application of demo code 94 on claims with demo code 40. Claims leading to the demo code 40 are not being processed.

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Issued by: Centers for Medicare & Medicaid Services (CMS)

Issue Date: April 24, 2025

DISCLAIMER: The contents of this database lack the force and effect of law, except as authorized by law (including Medicare Advantage Rate Announcements and Advance Notices) or as specifically incorporated into a contract. The Department may not cite, use, or rely on any guidance that is not posted on the guidance repository, except to establish historical facts.