90951
NephrologyCMS status: AESRD related services monthly, for patients younger than 2 years of age, with 4 or more face-to-face visits per month.
Work RVU
7.21
Practice RVU
2.20
Malpractice RVU
0.51
Total RVU
9.92
2026 Medicare payment
$331.34
National GPCI = 1.000 · Conversion factor $33.4009 · Non-facility
Model this code
Drop 90951 into a scenario to see how unit volume rolls up to annual wRVUs, gross collections, and bonus.
Open in calculator →When to use it
Pediatric ESRD <2 years, 4+ face-to-face dialysis visits in the calendar month.
Documentation checklist
- ✓4+ face-to-face visits documented.
- ✓Monthly assessment of growth, dialysis adequacy, access, nutrition.
Common pitfalls
- !Age class must match — wrong code class is the top denial reason.
Common ICD-10 pairings
N18.6
Educational reference, not billing or legal advice. Verify against your payer contracts and your compliance team before submission.