CSHCN 2009 > Renal Dialysis > Benefits, Limitations, and Authorization Requirements

31.3.4 Dialysis Training

Dialysis training is a benefit for CSHCN Services Program clients or their caregivers using the following revenue codes:

A maximum of 18 days of training may be provided to the client or their caregiver(s). If additional days of training are medically necessary, the denied claims for the additional days may be appealed for consideration of reimbursement. Documentation of medical necessity supporting the need for additional training sessions must be attached to the claim for reimbursement to be considered.

Dialysis training provided in an inpatient setting may be reimbursed at the same rate as the facility's outpatient training rate.

Dialysis training services and supplies provided by the dialysis facility include the following:

•Personnel services.

•Parenteral items routinely used in dialysis.

•Training manuals and materials.

•Routine laboratory tests listed in the table in Section 31.3.1, "In-Facility Services and Method I Home Dialysis Services". The frequency of routine laboratory tests during training are not limited, as these tests are commonly given during each day of training. These laboratory tests are not to be billed separately and may only be billed once a day.

Revenue codes 821, 831, 841, and 851 are denied if billed with the same date of service as dialysis training (revenue codes 829, 839, 849, and 859).