2025 CPT code 99512
(Active) Effective Date: N/A Revision Date: N/A Medicine - Home Health Procedures and Services Medicine Services and Procedures > Home Health Procedures and Services Feed
Home visit for hemodialysis.
Modifiers may be applicable depending on the specific circumstances of the service. Consult the CPT manual for details.
Medical necessity for 99512 is established by the patient's diagnosis of ESRD requiring regular hemodialysis and the inability to access dialysis in a facility setting.The patient must demonstrate the need for home healthcare services due to medical, physical, or geographical limitations.
The provider is responsible for setting up and operating the hemodialysis machine, inserting and managing vascular access, monitoring patient vital signs, ensuring the safety and efficacy of the treatment, documenting the procedure, and addressing any complications that may arise during the treatment.
- Medicine Services and Procedures > Home Health Procedures and Services
- Home Health Procedures and Services
In simple words: The doctor comes to the patient's home to perform hemodialysis, a treatment that cleans the blood for people with kidney disease. The doctor sets up the machine, connects the patient, watches their vital signs, and makes sure the treatment goes well.The treatment usually takes two to four hours.
The provider visits the patient at home to administer hemodialysis, a procedure that removes waste products from the blood of a patient with kidney failure.The provider sets up the equipment, inserts needles into the patient's vascular access to connect them to the dialysis machine, monitors the patient's vital signs and the machine's function throughout the treatment, documents the treatment, and ensures its completion. Treatments typically last two to four hours.
Example 1: A patient with end-stage renal disease (ESRD) who requires hemodialysis three times a week receives home hemodialysis visits from a nephrologist., A patient with ESRD and limited mobility receives hemodialysis at home, and a nurse practitioner performs the hemodialysis under the supervision of a nephrologist., A patient with ESRD requires hemodialysis, but due to complex vascular access issues, a vascular surgeon performs the cannulation, and a nurse practitioner performs the hemodialysis.
* Detailed medical history of the patient, including diagnosis of ESRD and any co-morbidities.* Documentation of the vascular access site and its condition.* Complete record of the hemodialysis treatment, including time, weight, blood pressure, and any complications.* Detailed notes about the equipment used and its functionality.* The patient's response to the treatment.* Any necessary follow-up plans.
** This code is for hemodialysis provided in the patient's home.It does not include the cost of supplies or medications.
- Revenue Code: M5D (SPECIALIST - OTHER)
- Payment Status: Active
- Specialties:Nephrology
- Place of Service:Home