[Code of Federal Regulations]

[Title 42, Volume 2]

[Revised as of October 1, 2005]

From the U.S. Government Printing Office via GPO Access

[CITE: 42CFR410.52]



[Page 342]

 

                         TITLE 42--PUBLIC HEALTH

 

                    CHAPTER IV--CENTERS FOR MEDICARE

                          & MEDICAID SERVICES,

                        DEPARTMENT OF HEALTH AND

                             HUMAN SERVICES

 

PART 410_SUPPLEMENTARY MEDICAL INSURANCE (SMI) BENEFITS--Table of Contents

 

               Subpart B_Medical and Other Health Services

 

Sec. 410.52  Home dialysis services, supplies, and equipment: Scope 

and conditions.



    (a) Medicare Part B pays for the following services, supplies, and 

equipment furnished to an ESRD patient in his or her home:

    (1) Purchase or rental, installation, and maintenance of all 

dialysis equipment necessary for home dialysis, and reconditioning of 

this equipment. Dialysis equipment includes, but is not limited to, 

artificial kidney and automated peritoneal dialysis machines, and 

support equipment such as blood pumps, bubble detectors, and other alarm 

systems.

    (2) Items and supplies required for dialysis, including (but not 

limited to) dialyzers, syringes and needles, forceps, scissors, scales, 

sphygmomanometer with cuff and stethoscope, alcohol wipes, sterile 

drapes, and rubber gloves.

    (3) Home dialysis support services furnished by an approved ESRD 

facility, including periodic monitoring of the patient's home 

adaptation, emergency visits by qualified provider or facility 

personnel, any of the tests specified in paragraphs (b) through (d) of 

Sec. 410.50, personnel costs associated with the installation and 

maintenance of dialysis equipment, testing and appropriate treatment of 

water, and ordering of supplies on an ongoing basis.

    (4) On or after July 1, 1991, epoetin (EPO) for use at home by a 

home dialysis patient and, on or after January 1, 1994, by a dialysis 

patient, if it has been determined, in accordance with Sec. 405.2163 of 

this chapter, that the patient is competent to use the drug safely and 

effectively.

    (b) Home dialysis support services specified in paragraph (a)(3) of 

this section must be furnished in accordance with a written treatment 

plan that is prepared and reviewed by a team consisting of the 

individual's physician and other qualified professionals. (Section 

405.2137 of this chapter contains specific details.)



[51 FR 41339, Nov. 14, 1986, as amended at 56 FR 43709, Sept. 4, 1991; 

59 FR 26959, May 25, 1994]