Glossary

    What is tele-nephrology?

    Tele-nephrology is remote nephrology consultation for CKD, AKI, electrolytes, and pre-dialysis planning. Here's how it works and who uses it.

    Short answer

    Tele-nephrology is the delivery of nephrology consultation remotely — curbsides, eConsults, and tele-visits — for cases involving CKD, AKI, electrolyte disturbances, proteinuria, resistant hypertension, and pre-dialysis planning. It's used by rural hospitals and clinics that can't recruit a full-time nephrologist.

    What tele-nephrology covers

    CKD staging and progression planning. AKI follow-up and med-dosing questions. Electrolyte and acid-base disturbances. Proteinuria and hematuria workup. Resistant hypertension optimization. Pre-dialysis planning and vascular access decisions. Delivered as curbsides for quick questions, eConsults for documented opinions, or tele-visits when needed.

    Who uses tele-nephrology

    Rural and community hospitals for inpatient nephrology consultation. Primary care clinics for CKD comanagement. Anywhere a nephrologist is a six-week wait away — which is most of the country outside major metros.

    The premium standard

    The consulting physician should be a board-certified nephrologist with meaningful post-fellowship experience. Beam requires NPI verification, board certification, and a minimum of 3 years post-residency on every tele-nephrology case.

    Frequently asked

    Is tele-nephrology billable?

    Yes. Tele-visits are billed as standard outpatient E/M codes. Provider-to-provider eConsults are billable under CPT 99451 and 99452 when documentation criteria are met.

    Can tele-nephrology support dialysis patients?

    It supports the pre-dialysis planning stage — access decisions, education, and timing. Chronic dialysis rounding still typically requires in-person or telemedicine at the dialysis unit itself.

    Who qualifies as a tele-nephrologist?

    A board-certified nephrologist with an active US state medical license. Premium platforms require NPI verification and a minimum of 3 years post-fellowship experience.

    How Beam delivers tele-nephrology

    Beam is the premium telemedicine partner — every clinician is NPI-verified with a minimum of 3 years post-residency (or post-credential for allied roles).

    See Beam Tele-Nephrology

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