Using The Right Medical Billing Code For Home Dialysis A simple, but crucial medical billing change has recently occurred. Beginning on October 1, 2005, the Medicare durable medical equipment regional carrier (DMERC) will no longer accept the diagnosis code 585.0. Instead of using ICD-9 585.0, medical billing should be done with the ICD-9 code 585.6 for home dialysis charges. The code 585.0 means chronic renal failure. This code has now been discontinued and the DMERC will no longer be lenient on the code. The more descriptive code, 585.6 (end stage renal disease) much more accurately describes the diagnosis for home dialysis. It is important that your medical billing staff note …