Results 1 to 2 of 2

Home Dialysis Training Question

  1. #1
    Buffalo, NY
    Default Home Dialysis Training Question
    Exam Training Packages
    What is the required number of completed training sessions for Home Dialysis training in order to bill Medicare for cpt code 90989? I can not seem to locate this information.

  2. Default Good Luck
    There is no hard and fast number on any CMS documents. The code itself does not specify what modality the training is for. There are some that will tell you that it must be 25, but there is NO basis for that number.

    The methodology for billing 90993 is reported by the Medicare contractor, Trailblazer, (and others, but I am quoting them specifically) as "Only for purposes of pro-ration, Medicare will consider 25 training treatments as a complete course of training" (reference:, page 31) this number is used because the Medicare regulations stipulate that the incomplete training cannot exceed $500, and they have assigned the 90993 at $20 per day.

    If you do some real digging, you will see that CMS in different publications and manuals identify that there are different "normal" training periods for each modality, Hemo, CCPD, CAPD etc, but still only one code.

    I will be writing to CMS for clarification. If I find that I am wrong, I will let you know.

Similar Threads

  1. Home Dialysis Training
    By stockekt in forum Medical Coding General Discussion
    Replies: 6
    Last Post: 05-07-2015, 11:11 AM
  2. Home Dialysis Training Reimbursement
    By EMBilling in forum Billing/Reimbursement
    Replies: 0
    Last Post: 09-12-2014, 02:14 PM
  3. Home Dialysis Training !!help!!!!
    By lsamith in forum Medical Coding General Discussion
    Replies: 0
    Last Post: 09-30-2008, 12:06 PM

Posting Permissions

  • You may not post new threads
  • You may not post replies
  • You may not post attachments
  • You may not edit your posts
Enjoying Our Forums?

AAPC forums are a benefit of membership. Joining AAPC grants you unlimited access, allowing you to post questions and participate with our community of over 150,000 professionals.

Join Now Continue Reading Without Full Access

Already a Member?


Close Message

In addition to full participation on AAPC forums, as a member you will be able to:

  • Access to the largest healthcare job database in the world.
  • Join over 150,000 members of the healthcare network in the world.
  • Be a part of an industry leading organization that drives the business side of healthcare.
  • Save anywhere from 10%-50% with exclusive member discounts on courses, books, study materials, and conferences.
  • Access to discounts at hundreds of restaurants, travel destinations, retail stores, and service providers. AAPC members also have opportunities to save on heath, life, and liability insurance.
  • Become a member of a local chapter and attend regular meetings.