Staff-Assisted Home Hemodialysis - (0229)

Cigna covers professional staff‑assisted home hemodialysis (CPT 99512) only when all specified medical‑necessity criteria are met and otherwise considers it not medically necessary/excluded, with coverage varying by plan. Key requirements: patient stable on dialysis with a well‑functioning vascular access, a medical contraindication to leaving home, inability or failed training of the patient/non‑professional caregiver, documented refusals by local in‑facility dialysis centers, and submission of CPT 99512 with supporting clinical documentation.

"Professional staff-assisted home hemodialysis (Current Procedural Terminology [CPT] 99512) is considered medically necessary when ALL of the following criteria are met:"

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