# Question about billing PD Patient

**URL:** <https://forums.homedialysis.org/t/question-about-billing-pd-patient/2658>\
**Category:** PD For Professionals\
**Created:** [August 11, 2011, 9:56am UTC](https://forums.homedialysis.org/t/question-about-billing-pd-patient/2658 "2011-08-11T09:56:57Z")\
**Posts on this page:** 2\
**Page:** 1

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**Author:** ![system](https://d16rlmixcfjfyh.cloudfront.net/original/1X/5d85dacb7e76ee0f7b162785afa5f129bc0805ad.png) [@system](https://forums.homedialysis.org/u/system)\
**Post date:** [August 11, 2011, 9:56am UTC](https://forums.homedialysis.org/t/question-about-billing-pd-patient/2658/1 "2011-08-11T09:56:57Z")

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Hi,

I would like to know how to bill for a patient that was on home PD until the 26th of the month and then switched to hemodialysis for the remainder of the month. Should I bill 90966 for PD or 90961 for 2-3 face-to-face physician visits?

Thanks.

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**Author:** ![Beth\_Witten\_MSW](https://forumcdn.homedialysis.org/user_avatar/forums.homedialysis.org/beth_witten_msw/32/541_2.png) [@Beth\_Witten\_MSW](https://forums.homedialysis.org/u/Beth_Witten_MSW)\
**Post date:** [September 3, 2011, 7:12pm UTC](https://forums.homedialysis.org/t/question-about-billing-pd-patient/2658/2 "2011-09-03T19:12:25Z")

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You can find answers to several Medicare questions here.

> **[Home Dialysis Central](https://homedialysis.org/professional-tools)**
>
> Home Dialysis Central was developed to raise the awareness and use of peritoneal dialysis (PD) and home hemodialysis. Developed by Medical Education Institute, Inc., Madison, WI.

According to the Medicare Claims Processing Manual, Chapter 8:

140.1.2 - Patients Who Switch Modalities (Center to Home and Vice Versa)  
(Rev. 1999, Issued: 07-09-10, Effective: 01-01-11, Implementation: 01-03-11)

[I]If a home dialysis patient receives dialysis in a dialysis center or other outpatient facility during the month, the MCP physician or practitioner is paid the management fee for the home dialysis patient and cannot bill the ESRD-related services codes for managing center based patients.

This situation should be coded using the ESRD–related services codes for a home dialysis patient per full month. Physicians and practitioners should use the ESRD–related services codes for a home dialysis patient per full month when billing for outpatient ESRD-related services when a home dialysis patient receives dialysis in a dialysis center or other outpatient facility during the month.

Physicians and practitioners should use the ESRD–related services codes for a home dialysis patient per full month for patients that switch modalities regardless of whether the ESRD beneficiary went from home dialysis to center-based dialysis, or vice versa, and regardless of the proportion of the month that the beneficiary was receiving each modality.[/I]

> **[clm104c08.pdf](https://www.cms.gov/Regulations-and-Guidance/Guidance/Manuals/downloads/clm104c08.pdf)**
>
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