E1634 Peritoneal Dialysis Clamps HCPCS Reimbursement

HCPCS Level II code E1634 denotes peritoneal dialysis clamps sold individually. As an accessory supply for peritoneal dialysis, these clamps are integral to safe fluid exchanges in both clinic and home dialysis programs. Nationally, durable medical supplies for dialysis affect supply-chain management, billing workflows, and patient access to necessary home therapies.

Key payers covered in this analysis include Aetna, Blue Cross Blue Shield, Cigna Health, UnitedHealthcare, and Medicare. Readers will find a concise overview of how E1634 is classified and billed, typical sites of service, and the clinical context for its use. The publication outlines benchmark considerations and coding practice notes relevant to outpatient and home peritoneal dialysis supply billing. Policy updates affecting HCPCS supply coding and reimbursement trends are summarized where available.

This piece is intended for billing professionals, dialysis program managers, and policy analysts seeking a national perspective on coding and administrative implications for peritoneal dialysis supplies. Data not available in the input is explicitly noted where applicable.

Billing Code Overview

HCPCS Level II code E1634 represents peritoneal dialysis clamps, each. This item is a supply used in peritoneal dialysis procedures to secure and control tubing and fluid flow during exchanges. The service type is durable medical supply / dialysis accessory. The typical site of service is dialysis clinic or outpatient/home peritoneal dialysis setting, where supplies are provided for ongoing dialysis treatment or home use.

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Clinical Context

A patient with end-stage renal disease (ESRD) is established on peritoneal dialysis using a chronic indwelling peritoneal dialysis catheter and requires routine supplies and device maintenance for home dialysis. During supply dispensing and technique training at an outpatient dialysis clinic or durable medical equipment (DME) supplier, peritoneal dialysis clamps are provided as single-use replacement components. Typical scenarios include replacement of worn or contaminated clamps on tubing sets during a dressing change, exchange of dialysis tubing during an automated peritoneal dialysis cycler set-up, or stocking of spare clamps for emergency exchanges at home. The typical site of service is an outpatient dialysis center, DME supplier, or the patient’s home when supplies are delivered. Workflow: clinician or DME staff verifies prescription for dialysis supplies, documents device type (E1634), quantities, and patient identifiers; trains the patient or caregiver on clamp use and infection control; dispenses clamps with documentation in the medical record and durable medical equipment billing system; and coordinates delivery for home use. Documentation should include indication for peritoneal dialysis, device description and count, patient education provided, and signature of the supplying clinician or DME representative.

Coding Specifications

Modifier	Description	When to Use
`NU`	New equipment	When the clamp is part of a new DME item supplied for the first time to the patient.

Taxonomy Code	Specialty	Notes
`174400000X`	Nephrology	Physicians who manage peritoneal dialysis prescriptions and supplies.
`333600000X`	Dialysis Facility	Organizations providing outpatient peritoneal dialysis services and supply coordination.
`367500000X`	Wound, Ostomy and Continence Nursing	Nurses who provide training on catheter care, exchanges, and supply handling.
`174N00000X`	Nurse Practitioner	Advanced practice clinicians frequently involved in home dialysis education and orders.
`363L00000X`	Durable Medical Equipment Supplier	Suppliers responsible for dispensing `E1634` and documenting supply delivery.

Related Diagnoses

ICD-10 Code	Description	Clinical Relevance
`N18.6`	End stage renal disease	Primary indication for chronic peritoneal dialysis and need for peritoneal dialysis supplies including clamps.
`N18.5`	Chronic kidney disease, stage 5	Patients at stage 5 CKD may be managed with peritoneal dialysis requiring clamps and tubing.
`T82.7XXA`	Infection and inflammatory reaction due to other internal prosthetic device, implant and graft, initial encounter	Relevant when catheter-related infection necessitates replacement of tubing and clamps.
`Z99.2`	Dependence on renal dialysis	Denotes ongoing dialysis dependence and justification for durable medical equipment supplies.
`T85.79XA`	Other mechanical complication of other specified internal prosthetic devices, implants and grafts, initial encounter	Addresses mechanical issues with peritoneal catheters where clamps or replacement parts are needed.

Related CPT Codes

CPT Code	Description	Relationship to This Procedure
`90945`	Dialysis procedure other than hemodialysis, peritoneal; initial encounter, including catheter care, training and education	Initial peritoneal dialysis training and catheter care sessions during which clamps may be provided and instruction given.
`90947`	Dialysis procedure other than hemodialysis, peritoneal; subsequent encounter, including catheter care, training and education	Follow-up training or clinic visits for peritoneal dialysis technique and supply assessment when clamps are replaced.
`51702`	Irrigation of urinary bladder, simple; single or initial instillation	Not directly related but occasionally performed in same clinic workflows; included for completeness when related pelvic procedures coincide.
`49568`	Replacement of existing port or catheter (percutaneous); simple revision	Surgical revision of peritoneal dialysis catheter where clamps and accessories are used peri-procedurally.
`99070`	Supplies and materials (except spectacles), used by the patient (list drugs, etc.)	Used to report non-specific supplies and materials provided during patient care; may be used by some payors for supply dispensing adjunct to `E1634`.

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Summary & Overview

HCPCS E1634: Peritoneal Dialysis Clamps, Each