Summary & Overview
HCPCS G8714: Hemodialysis Three Times Weekly, >90 Days
HCPCS Level II code G8714 denotes hemodialysis delivered exactly three times per week for more than 90 days. This service-level code captures long-term, maintenance dialysis scheduling and is relevant for tracking service frequency, care continuity, and program eligibility for patients with end-stage renal disease. It has national relevance because standardized coding of chronic dialysis schedules supports claims processing, quality measurement, and resource planning across public and commercial payers.
Key payers included in the scope are Aetna, Blue Cross Blue Shield, Cigna Health, UnitedHealthcare, and Medicare. Readers will find a concise overview of the code's clinical meaning, typical sites of service, and which payers commonly encounter this billing descriptor. The publication summarizes benchmarking context and policy considerations affecting dialysis coding, highlights where G8714 fits in clinical workflows, and outlines the types of metrics and documentation commonly associated with frequency-based dialysis codes.
This resource is aimed at coding professionals, revenue cycle staff, and policy analysts who need a clear, national-level explanation of G8714 and what its use implies for claims, reporting, and operational workflows. Data not available in the input will be flagged where relevant in detailed sections.
Billing Code Overview
HCPCS Level II code G8714 describes hemodialysis treatment performed exactly three times per week for more than 90 days. The service type is scheduled maintenance hemodialysis provided on a recurring thrice-weekly basis. The typical site of service is a dialysis center or outpatient dialysis facility, where patients receive repeated, regimented dialysis sessions over an extended period.
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Clinical & Coding Specifications
Clinical Context
A typical patient is a 62-year-old with end-stage renal disease (ESRD) due to long-standing diabetes mellitus and hypertension who requires maintenance in-center hemodialysis. The patient arrives to the dialysis unit three times per week for a prescribed dialysis session lasting approximately 3–4 hours per visit. Pre-session nursing assessment includes vital signs, weight, review of interdialytic weight gain, evaluation of the vascular access (arteriovenous fistula or graft), and review of the dialysis prescription (dialysate composition, blood flow rate, ultrafiltration goal, and anticoagulation). The dialysis nurse prepares the machine, performs infection-control handoff, cannulates the access, connects tubing and dialyzer, and initiates treatment. During the session, nursing monitors hemodynamics, adjusts ultrafiltration, administers medications as ordered (e.g., heparin, erythropoiesis-stimulating agents as applicable), and documents treatment parameters. At session completion the nurse discontinues dialysis, assesses access hemostasis, records treatment adequacy measures, and communicates any issues to the nephrologist. This billing code G8714 applies when maintenance hemodialysis is performed exactly three times per week for more than 90 days as part of ongoing ESRD care.
Coding Specifications
| Modifier | Description | When to Use |
|---|---|---|
25 | Significant, separately identifiable evaluation and management service by the same physician on the same day |