HCPCS code G0257 — Unsched dialysis esrd pt hos.
Status: Active.
Effective Jan 1, 2003.
Source: CMS HCPCS Level II.
G0257
ActiveUnsched dialysis esrd pt hos
Unscheduled or emergency dialysis treatment for an esrd patient in a hospital outpatient department that is not certified as an esrd facility
Category:
Procedures
Section:
G-codes: Procedures / Professional Services
Effective:
Jan 1, 2003
Code type:
alphanumeric
OPPS Status:
S
— Significant procedure — not subject to multiple procedure reduction
OPPS APC:
5401
MUE — Medically Unlikely Edits
Maximum units of G0257 Medicare will pay for one beneficiary on one date of service. Claims exceeding the MUE are denied or returned for review.
| Service Type | Max Units / Day |
|---|---|
| Outpatient Hospital | 1 |
| Practitioner Services | 0 |
Source: CMS Medicare NCCI Medically Unlikely Edits
NCCI Edits
The following codes cannot be billed together with G0257 without appropriate documentation.
Source: CMS National Correct Coding Initiative (NCCI)