🛠️ Development preview — synthetic data only. Not for real billing.
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NEMT Dialysis Transport — Routine BLS, Residence to Dialysis Center

Harold Thompson · Male · DOB 1958-12-30

Synthetic Demo

Clinical Narrative

Unit dispatched non-emergent for scheduled dialysis transport of a 67-year-old male with end-stage renal disease requiring routine hemodialysis three times weekly. Patient was ambulatory and cooperative, meeting crew at the front door of his residence. Patient denied any acute complaints and reported feeling at his baseline. No respiratory distress, chest pain, or neurological symptoms noted. Vital signs were stable and within the patient's documented baseline range. Patient was assisted to the stretcher for comfort during the 18-mile transport to Westside Dialysis Center. Transport was completed without incident and patient was transferred to dialysis center staff in stable condition.

Vitals

Initial

BP
136/82
HR
76
RR
16
SpO₂
98%
GCS
15

Final

BP
138/84
HR
74
RR
16
SpO₂
98%
GCS
15

Procedures

  • Vital signs monitoring
  • Patient assist to stretcher

Crew & Logistics

Crew
2 personnel, EMT-B
Loaded miles
18
Origin → Dest
RJ
Disposition
transported

Level of Service

BLSA0428

No ALS criteria met → BLS

Emergency: false → A0428

Inference: 15,737ms · Model: claude-sonnet-4-5

ICD-10 Diagnoses

Z99.2

Dependence on renal dialysis (ESRD on dialysis)

Primary
100% conf

This is a scheduled dialysis transport for a patient with documented end-stage renal disease on routine hemodialysis. The primary reason for the EMS encounter is the patient's dependence on renal dialysis, which necessitated the scheduled transport.

N18.6

End-stage renal disease

100% conf

The underlying condition of end-stage renal disease is explicitly documented and is the reason the patient requires dialysis three times weekly. This is the condition necessitating the dialysis dependence.

CPT / HCPCS Codes

A0428

BLS non-emergency transport

90% conf1 transport

No ALS criteria met → BLS → Emergency: false → A0428

A0425

Ground mileage per statute mile

100% conf18 miles

Loaded miles: 18

Modifiers

RJ

Residence to Non-hospital dialysis facility

Modifier