ESRD

ESRD Payment System Overhaul: Key Billing Updates for January 2026 Implementation

Source published November 24, 2025

What Changed

Action required by

January 1, 2026

Review the Action Required section below and ensure your team has completed all compliance steps before this date.

What Changed

The Medicare End-Stage Renal Disease (ESRD) Prospective Payment System (PPS) will undergo significant updates effective January 1, 2026. These updates involve revised payment rates for dialysis services, including those provided to individuals with acute kidney injury. The changes are part of an initiative to enhance care quality and streamline reimbursement processes for renal dialysis services.

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Content summarized from publicly available federal publications including CMS, MAC contractors, and the Federal Register. CLV Intelligence is not affiliated with or endorsed by any government agency. This is not legal or medical advice.