Local Coverage DeterminationESRD

LCD L37502: Frequency of Hemodialysis — Noridian

LCD-L37502

Document details

Document type
Local Coverage Determination
Issuing body
MAC Contractor
Document ID
LCD-L37502
Published
June 5, 2026
Effective date
October 16, 2025
MAC region
Noridian

Summary

The updated LCD on the frequency of hemodialysis may necessitate adjusted billing practices for providers. It's essential to review and possibly revise claims to align with the new guidelines to avoid

Billing adjustments needed for new hemodialysis frequency LCD.

Affected codes

ICD-10-CM

Affected specialty

ESRD alerts →

Source document

https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?lcdid=37502&ver=21

CLV Intelligence summarizes publicly available federal publications. Not affiliated with or endorsed by any government agency.

Related alerts

4

Federal Register Proposed Rule: Medicare Program; CY 2027 Changes to the End-Stage Renal Disease (ESRD) Prospective Payment System, Acute Kidney Injury Dialysis (AKI) Payment, and ESRD Quality Incentive Program

Policy FR-2026-12925 · Multi-specialty

Routine

This proposed rule would update and revise the End-Stage Renal Disease (ESRD) Prospective Payment System for calendar year 2027. This rule also proposes to update the payment rate for renal dialysis s

View alert

CMS Transmittal R13822CP: Quarterly Update to the End Stage Renal Disease Prospective Payment System (ESRDPPS)

Policy CMS-T-R13822CP · ESRD

Critical

The quarterly update to the End Stage Renal Disease Prospective Payment System (ESRDPPS) includes changes that billing teams must implement by July 6, 2026. Teams should review claims related to ESRD

View alert

CMS Transmittal R13516BP: Implementation of Changes in the End-Stage Renal Disease (ESRD) Prospective Payment System (PPS…

Policy CMS-T-R13516BP · Multi-specialty

High

Implementation of Changes in the End-Stage Renal Disease (ESRD) Prospective Payment System (PPS…

View alert

Federal Register Final Rule: Principles of Reasonable Cost Reimbursement; Payment for End-Stage Renal Disease Services; Prospectively Determined Payment Rates for Skilled Nursing Facilities; Payment for Acute Kidney Injury Dialysis

Policy FR-2024-05210 · ESRD

Routine

The new regulations regarding payment for End-Stage Renal Disease (ESRD) and Acute Kidney Injury Dialysis aim to streamline reimbursement processes and ensure providers are compensated fairly. These c

View alert