G865

PDF page 454 / J40

DIAGNOSTIC AND THERAPEUTIC PROCEDURES
DIALYSIS
                                                                                                           Fee
    Chronic dialysis weekly team fee
# G860 Hospital haemodialysis or haemodiafiltration .........................                             135.80
# G861 Hospital peritoneal dialysis .....................................................                 135.80
# G862 Hospital self-care haemodialysis or satellite haemodialysis ...                                    135.80
# G863 ICHSC haemodialysis.............................................................                   135.80
# G864 Home peritoneal dialysis.........................................................                  135.80
# G865 Home haemodialysis ..............................................................                  135.80
# G866 Intermittent haemodialysis - at an auxiliary treatment centre
          (per treatment, maximum 2 per patient per 7-day period
          referred to above) ...............................................................                73.45
         Note:
         1.Claim the code representing the predominant location and modality.
         2.Where 3 or more treatments are rendered per 7-day period at an auxiliary treatment centre,
           the service comprises the chronic dialysis weekly team fee paid at the full amount,
           regardless of the number of treatments rendered.

Master, record 2397. Record Layout PDF, page 1.

G86520260401999999990000135800000000000000000000000000000000000000000000000

Auxiliary master fields are preserved as raw scaled values. The linked layout calls them zero-filled, but this edition contains non-zero values. They are not presented as final dollar fees or PDF units.