End Stage Renal Disease (ESRD) - JE Part A
End Stage Renal Disease (ESRD)
ESRD is partial or complete failure of the kidneys. Individuals will have already received a diagnosis of Chronic Kidney Disease (CKD). Individuals with ESRD typically are on dialysis or have had a kidney transplant; two ways to manage the disease.
Access the below ESRD related information from this page.
- Acute Kidney Injury (AKI) Coverage and Billing
- Enrollment
- ESRD Claims Processing - Medical Evidence Report
- ESRD Laboratory Services
- ESRD PPS Outpatient Billing Guide
- Hemodialysis In-Facility or Home Setting
- Ultrafiltration Coverage, Coding, and Reimbursement
Resources
- CMS Erythropoietin Stimulating Agents Policies
- CMS ESRD Center
- CMS ESRD Prospective Payment System (PPS) Overview
- CMS ESRD Quality Initiative Overview
- CMS Internet Only Manual (IOM), Publication 100-02, Medicare Benefit Policy Manual, Chapter 11 - ESRD, Sections 10-60, 90, 120, 130, and 140
- CMS IOM, Publication 100-04, Medicare Claims Processing Manual, Chapter 8 - Outpatient ESRD Hospital, Independent, Facility, and Physician/Supplier Claims, Sections 10-80
Last Updated Jun 24 , 2025
