I work for a nephrologist and do the esrd, mcp monthly billing on the physicians rounds of dialysis patients. my doctor and i are at a stand off as to what the medicare guidelines mean when they say, a face to face encounter with the dialysis pt". hoping someone might be able to help give more clairfacation on this. The codes are G0317, G0318, and G0319. i read as, the doctor must have a face to face visit with the patient while they are on dialysis and discuss the dialysis related issues the patient is having. help as i am at the end of my rope!!!!