Quarterly Update to the End-Stage Renal Disease Prospective Payment System (ESRD PPS)
The purpose of this Change Request (CR) is to (1) provide instructions for implementing the Transitional Drug Add-on Payment Adjustment (TDAPA) effective October 1, 2023 for a new Healthcare Common Procedure Coding System (HCPCS) code; (2) update the diagnosis codes eligible for the ESRD PPS comorbidity payment adjustment effective October 1, 2023 and add three diagnosis codes effective October 1, 2020; and (3) add two new diagnosis codes to the list of AKI diagnosis codes.
Issued by: Centers for Medicare & Medicaid Services (CMS)
Issue Date: July 27, 2023
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.