Nephrology · CMS status A
90951
ESRD service mo 0-1 yrs full month
ESRD 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
2026 Medicare pays
$331.34
National GPCI · non-facility · CF $33.4009
RVU anatomyWork 7.21 + Practice 2.20 + Malpractice 0.51 = 9.92 total
Work (your effort)Practice expenseMalpractice
Billing guidance for 90951 is locked
- When to use it: the exact clinical situations that support billing 90951
- Documentation checklist: the 2 elements your note needs before submitting
- Common pitfalls: the 1 mistakes that get 90951 downcoded or denied
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Common ICD-10 pairings
N18.6
Educational reference, not billing or legal advice. Verify against your payer contracts and your compliance team before submission.