| CODE LIST | 
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- CODES:
 
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- CODE DESCRIPTION:    
End-stage renal disease (ESRD) related services monthly, for patients 12-19 
years of age to include monitoring for the adequacy of nutrition, assessment 
of growth and development, and counseling of parents; with 4 or more face-to-face 
visits by a physician or other qualified health care professional per month
 
 
 
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- CODE DESCRIPTION:    
End-stage renal disease (ESRD) related services for dialysis less than 
a full month of service, per day; for patients 20 years of age and older
 
 
 
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- CODE DESCRIPTION:    
Dialysis training, patient, including helper where applicable, any mode, 
completed course
 
 
 
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- CODE DESCRIPTION:    
Dialysis training, patient, including helper where applicable, any mode, 
course not completed, per training session
 
 
 
- 
- CODE DESCRIPTION:    
Hemoperfusion (eg, with activated charcoal or resin)
 
 
 
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- CODE DESCRIPTION:    
Unlisted dialysis procedure, inpatient or outpatient
 
 
 
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- CODE DESCRIPTION:    
Home visit for hemodialysis
 
 
 
- 
- CODE DESCRIPTION:    
End-stage renal disease (ESRD) related services monthly, for patients 12-19 
years of age to include monitoring for the adequacy of nutrition, assessment 
of growth and development, and counseling of parents; with 2-3 face-to-face 
visits by a physician or other qualified health care professional per month
 
 
 
- 
- CODE DESCRIPTION:    
End-stage renal disease (ESRD) related services monthly, for patients 12-19 
years of age to include monitoring for the adequacy of nutrition, assessment 
of growth and development, and counseling of parents; with 1 face-to-face 
visit by a physician or other qualified health care professional per month
 
 
 
- 
- CODE DESCRIPTION:    
End-stage renal disease (ESRD) related services monthly, for patients 20 
years of age and older; with 4 or more face-to-face visits by a physician 
or other qualified health care professional per month
 
 
 
- 
- CODE DESCRIPTION:    
End-stage renal disease (ESRD) related services monthly, for patients 20 
years of age and older; with 2-3 face-to-face visits by a physician or 
other qualified health care professional per month
 
 
 
- 
- CODE DESCRIPTION:    
End-stage renal disease (ESRD) related services monthly, for patients 20 
years of age and older; with 1 face-to-face visit by a physician or other 
qualified health care professional per month
 
 
 
- 
- CODE DESCRIPTION:    
End-stage renal disease (ESRD) related services for home dialysis per full 
month, for patients 12-19 years of age to include monitoring for the adequacy 
of nutrition, assessment of growth and development, and counseling of parents
 
 
 
- 
- CODE DESCRIPTION:    
End-stage renal disease (ESRD) related services for home dialysis per full 
month, for patients 20 years of age and older
 
 
 
- 
- CODE DESCRIPTION:    
End-stage renal disease (ESRD) related services for dialysis less than 
a full month of service, per day; for patients 12-19 years of age
 
 
 
 
  
 
 
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