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40.3.3.4 Continuous Ambulatory Peritoneal Dialysis (CAPD) and Continuous Cycling Peritoneal Dialysis (CCPD) Support
Support services furnished to maintenance home CAPD/CCPD clients are payable to dialysis facilities. Home dialysis support services must be furnished by the facility in either the home or the facility. Use revenue codes B-845 or B-855 (CAPD and CCPD) when billing such services.
CAPD/CCPD support services include, but are not limited to, the following:
• Changing the connecting tube ("administration set").
•Watching the client perform CAPD/CCPD, and ensuring that it is done correctly. The observation includes reviewing any aspects of the technique they may have forgotten or informing the client of modifications in apparatus or technique.
•Documenting whether the client has or had peritonitis that requires physician intervention or client hospitalization.
•Inspecting the catheter site.
Routine laboratory services are not included in the support services and are reimbursed separately.
Equipment and supplies are not payable separately.
A client with Medicaid coverage may receive CAPD/CCPD support services furnished by the facility once per month. Charges for support services in excess of once per month must include documentation of medical necessity.
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