Understanding CMS's ESRD PPS Update: Key Adjustments for Coders by 2026
What Changed
Action required by
July 6, 2026
Review the Action Required section below and ensure your team has completed all compliance steps before this date.
What Changed
The Centers for Medicare & Medicaid Services (CMS) has updated the End Stage Renal Disease Prospective Payment System (ESRD PPS) with changes effective July 6, 2026. This update involves adjustments to the payment rates and methodologies for reimbursing dialysis services and related treatments for patients with end-stage renal disease (ESRD). While the specific CPT, HCPCS, or ICD-10 codes affected are not detailed in the transmittal, the changes will impact how providers are reimbursed for ESRD-related 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.