Pennsylvania Code & Bulletin
COMMONWEALTH OF PENNSYLVANIA

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The Pennsylvania Code website reflects the Pennsylvania Code changes effective through 54 Pa.B. 488 (January 27, 2024).

34 Pa. Code § 127.124. Outpatient and end-stage renal dialysis payment.

§ 127.124. Outpatient and end-stage renal dialysis payment.

 (a)  Payments to providers of outpatient and end-stage renal dialysis shall be calculated as follows: the Medicare composite rate, per treatment, shall be multiplied by 113%.

 (b)  Hospital outpatient ancillary services paid outside of the Medicare composite rate shall be reimbursed in accordance with §  127.119 (relating to payments for services using RCCs).

Cross References

   This section cited in 34 Pa. Code §  127.101 (relating to medical fee caps—Medicare); 34 Pa. Code §  127.158 (relating to medical fee updates on and after January 1, 1995—outpatient and end-stage renal dialysis).



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