Member Services Representatives unavailable

Our member services representatives will not be available on Thursday and Friday, November 24 and 25, due to the holiday.

Show More

Dialysis Services

The Enhanced Ambulatory Patient Groups (EAPG) system does not group dialysis services based on revenue code but instead assigns the appropriate EAPG based on Current Procedure Terminology (CPT) and Healthcare Common Procedure Coding System (HCPCS) codes. For providers utilizing the EAPG system, please use the following billing guidelines when submitting claims for dialysis services.

If CPT code 90999 is billed, the service will process as peritoneal dialysis. For additional information, please reference the Dialysis Services reimbursement policy.