MedicaidBilling CodesHigh impact
Chapter H-200, Handbook for Hospital Services
Illinois Medicaid - HFS·IL · Nephrology·Provider Notice
Effective date
Jun 1, 2016
We identified it
Jun 20, 2026
Summary
Effective June 1, 2016, renal dialysis providers must bill separate service lines for each dialysis treatment date and include Service Line Date (FL 45) for injectable drugs. Claims will be rejected if they don't contain individual service lines per date or proper Epogen unit calculations.
Action Required
By June 1, 2016: Billing team must update renal dialysis billing to include separate service lines for each treatment date, ensure Service Line Date (FL 45) is populated for revenue codes 0634, 0635, and 0636, and verify Epogen units in FL 46 equal 1/100 of Value Code 68 units in FL 39. Update billing software to prevent series claims with multiple dates on one line. Claims missing these requirements will be rejected with error codes E34, K42, E48, or C76.