HCPCS code G0257 — Unsched dialysis esrd pt hos. Status: Active. Effective Jan 1, 2003. Source: CMS HCPCS Level II.

G0257

Active

Unsched 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.

Column 2 Code Modifier
G0491 Modifier may bypass edit
G0492 Modifier may bypass edit

Source: CMS National Correct Coding Initiative (NCCI)