Code intelligence

N18.9 reimbursement alerts

Policy changes, MAC LCD updates, and CMS guidance matched to code N18.9.

Critical code riskView ICD-10 detail

Signal breakdown

7 shown · 7 total in platform

Risk: Critical

Critical

43%

High

29%

Routine

29%

Low

New this month

—

alerts added in last 30 days

Effective soon

—

no upcoming deadlines

Federal Register Final Rule: Medicare Program; End-Stage Renal Disease Prospective Payment System, Payment for Renal Dialysis Services Furnished to Individuals With Acute Kidney Injury, Conditions for Coverage for End-Stage Renal Disease Facilities, End-Stage Renal Disease Quality Incentive Program, and End-Stage Renal Disease Treatment Choices Model

Policy FR-2024-25486 · ESRD

Critical

Revised ESRD payment rules effective Jan 2025 will impact billing.

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Federal Register Final Rule: Medicare Program; End-Stage Renal Disease Prospective Payment System, Payment for Renal Dialysis Services Furnished to Individuals With Acute Kidney Injury, End-Stage Renal Disease Quality Incentive Program, and End-Stage Renal Disease Treatment Choices Model

Policy FR-2025-20681 · ESRD

Critical

New updates for ESRD payments take effect in 2026.

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Federal Register Proposed Rule: Medicare Program; End-Stage Renal Disease Prospective Payment System, Payment for Renal Dialysis Services Furnished to Individuals With Acute Kidney Injury, Conditions for Coverage for End-Stage Renal Disease Facilities, End-Stage Renal Disease Quality Incentive Program, and End-Stage Renal Disease Treatment Choices Model

Policy FR-2024-14359 · ESRD

Critical

Changes to ESRD payment rates and quality requirements proposed.

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LCD L35751: Non-Invasive Peripheral Venous Vascular and Hemodialysis Access Studies — WPS

Policy LCD-L35751 · Nephrology

High

New LCD may impact billing for vascular and hemodialysis access studies.

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LCD L37504: Frequency of Hemodialysis — Noridian

Policy LCD-L37504 · ESRD

High

Changes to hemodialysis billing guidelines may impact reimbursements.

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LCD L37598: Cystatin C Measurement — CGS

Policy LCD-L37598 · Clinical Laboratory

Routine

New coverage for Cystatin C requires billing team review.

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LCD L34011: Ionized Calcium — First Coast

Policy LCD-L34011 · Clinical Laboratory

Routine

LCD updates could affect Ionized Calcium billing practices.

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Audit documentation

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The Tripwire Audit Pack exports 12 months of ESRD policy-change history — every alert with a link to its government source document, as a formatted PDF for compliance distribution plus a machine-readable CSV. Delivered automatically after payment. No account, no call.

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