Skip to main content

Additional Payable Diagnosis Codes Have Been Added to Some CSHCN Renal Dialysis Procedure Codes

Last updated on

Effective December 28, 2021, the following diagnosis codes may be reimbursed when submitted with procedure codes 821, 829, 831, 839, 841, 849, and 851:

Added Diagnosis Codes

N1830

N1831

N1832

Affected claims submitted with dates of service from October 1, 2020, through December 28, 2021, will be reprocessed, and providers may receive additional payment, which will be reflected on Remittance and Status (R&S) Reports.

In addition, the following diagnosis codes may be reimbursed when submitted with renal dialysis procedure code 859:

Added Diagnosis Codes

N170

N171

N172

N178

N179

N181

N182

N1830

N1831

N1832

N184

N185

N186

N189

N990

T795XXA

T795XXD

T795XXS

Affected claims that were submitted within 24 months of the reprocessing date will be reprocessed, and providers may receive additional payment, which will be reflected on Remittance and Status (R&S) Reports.

For more information, call the TMHP-CSHCN Services Program Contact Center at 800-568-2413.