HCPCS Level II E1560: Blood Leak Detector for Hemodialysis, Replacement - OpenPayer

Summary & Overview

HCPCS Level II E1560: Blood Leak Detector for Hemodialysis, Replacement

HCPCS Level II code E1560 designates a replacement blood leak detector used in hemodialysis. As a component of dialysis equipment, this supply supports patient safety by signaling blood leaks in the extracorporeal circuit. Nationally, proper coding of this item affects billing accuracy, device tracking, and reimbursement for dialysis providers and suppliers.

Key payers referenced include Aetna, Blue Cross Blue Shield, Cigna Health, UnitedHealthcare, and Medicare. Readers will find a concise overview of the code’s clinical role, typical sites of service, and payer landscape. The publication presents benchmarks for coverage and payment where available, summarizes policy considerations relevant to durable medical equipment used in dialysis, and provides clinical context for how the device integrates into hemodialysis treatment workflows.

Data not available in the input for associated taxonomies, specific ICD-10 pairings, detailed payer policies, and related codes.

AetnaBlue Cross Blue ShieldCigna HealthUnitedHealthcareMedicareE1560HCPCS Level IIhemodialysisdurable medical equipmentblood leak detectordialysis suppliesoutpatient dialysisdevice replacement

Billing Code Overview

HCPCS Level II code E1560 describes a blood leak detector for hemodialysis, each, replacement. This item is a component used in hemodialysis procedures to detect breaches in the dialysis blood circuit that could allow blood loss or compromise treatment safety.

Service type: Durable medical equipment component for hemodialysis
Typical site of service: Outpatient dialysis centers and hospital dialysis units

Clinical & Coding Specifications

Clinical Context

A patient with end-stage renal disease (ESRD) receiving maintenance hemodialysis presents for a routine dialysis session at an outpatient dialysis center. During machine preparation and circuit hookup, the hemodialysis machine's integrated blood leak detector is found to be malfunctioning or reaches end of its usable life. The dialysis nurse replaces the single-use or machine-mounted blood leak detector component to restore safety monitoring of dialysate integrity before initiating the treatment. The workflow includes identification of the faulty detector, verification of device compatibility, removal of the old detector, installation of the replacement part billed as E1560, functional testing of the system per facility protocol, documentation of device change in the dialysis treatment record, and resumption of the dialysis session. Typical site of service is an outpatient dialysis center or hospital dialysis unit. The service type is replacement of a hemodialysis blood leak detector (durable medical equipment / supply billed at the HCPCS Level II code E1560). Typical patient scenario: an adult patient with ICD-10 diagnosis of ESRD (for example N18.6) arriving for scheduled dialysis whose machine alarms indicate a failed blood leak sensor and requires same-day replacement to proceed with safe dialysis treatment.

Coding Specifications

Modifier	Description	When to Use

HCPCS Level II E0372: Powered Air Overlay for Standard Mattress

HCPCS-E0785-IMPLANTABLE-INTRASPINAL-CATHETER-REPLACEMENT

HCPCS E0785: Implantable Intraspinal Catheter Replacement

HCPCS-E2366-POWER-WHEELCHAIR-BATTERY-CHARGER-SINGLE-MODE

HCPCS E2366: Power Wheelchair Battery Charger, Single Mode

HCPCS-E1090-HIGH-STRENGTH-LIGHTWEIGHT-WHEELCHAIR-DETACHABLE-ARMS

HCPCS E1090: High Strength Lightweight Wheelchair with Detachable Arms

HCPCS-E1006-POWER-SEATING-TILT-RECLINE-ACCESSORY

HCPCS E1006: Power Seating System, Combination Tilt and Recline

HCPCS-E0455-OXYGEN-TENT-WHOLE-BODY-OXYGEN-THERAPY

HCPCS E0455: Oxygen Tent, Whole-Body Oxygen Therapy

HCPCS-E0444-PORTABLE-LIQUID-OXYGEN-1-MONTH-SUPPLY

HCPCS E0444: Portable Liquid Oxygen, 1-Month Supply

HCPCS-E0565-AIR-COMPRESSOR-EXTERNAL-POWER-SOURCE

HCPCS E0565: External Air Compressor Power Source for Medical Equipment

HCPCS-E0945-EXTREMITY-BELT-HARNESS

HCPCS Level II E0945: Extremity Belt/Harness

HCPCS-E0243-TOILET-RAIL-DURABLE-MEDICAL-EQUIPMENT

HCPCS Level II E0243: Toilet Rail, Each

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Taxonomy Code	Specialty	Notes
`174H00000X`	Nephrology	Nephrologists supervise dialysis programs and clinical decisions regarding dialysis equipment and safety.
`174400000X`	Dialysis Facility	Facility-level taxonomy representing outpatient dialysis units where replacements are commonly performed.
`163W00000X`	Registered Nurse	Dialysis nurses perform device checks, replacement of single-use components, and functional testing.
`367A00000X`	Biomedical Equipment Technician	Technicians perform equipment maintenance and component replacement for hemodialysis machines.

Related Diagnoses

ICD-10 Code	Description	Clinical Relevance
`N18.6`	End stage renal disease	Primary indication for maintenance hemodialysis where blood leak detectors are essential for dialysate safety.
`N18.5`	Chronic kidney disease, stage 5	Patients approaching or on renal replacement therapy who may require regular dialysis and detector replacement.
`I12.0`	Hypertensive chronic kidney disease with stage 5 chronic kidney disease or end stage renal disease	Common comorbidity in ESRD dialysis patients relevant to ongoing dialysis care.
`Z99.2`	Dependence on renal dialysis	Administrative diagnosis commonly present on claims for dialysis supplies and device replacements.
`T82.8XXA`	Other complications of cardiac and vascular prosthetic devices, implants and grafts, initial encounter	Included when device-related complications or access issues prompt equipment checks and component replacement.

Related CPT Codes

CPT Code	Description	Relationship to This Procedure
`90935`	Hemodialysis procedure with single evaluation by a physician or other qualified health care professional, for ESRD, including dialysis circuit setup, vascular access assessment, and monitoring, face-to-face; for single encounter	Performed in the same clinical workflow; documents the dialysis treatment session during which the blood leak detector replacement may occur.
`90937`	Hemodialysis procedure for ESRD, more than one evaluation, typically for longer or more complex sessions	Used for longer sessions or increased physician involvement in the event of complications related to equipment failure and replacement.
`99501`	Home visit for dialysis equipment training (example code for training — note: verify payor acceptance)	May be relevant when device replacement or troubleshooting occurs in home dialysis programs; documents training/visit related to equipment maintenance.
`99070`	Supplies and materials (except fluids, gases, or blood), used in the provision of services, when not listed separately	May be used by facilities to bill for disposable supplies when payor policy allows; relates to billing for replacement parts like blood leak detectors when not separately reimbursed.
`93740`	Dialysis access care (example code for access-related procedures)	Performed when vascular access issues arise during replacement or testing of detectors; documents related access interventions.

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