Nephrology · CMS status A
90954
ESRD MCP, 2-11yr, 4+ visits/mo
ESRD related services monthly, ages 2-11 years, 4+ face-to-face visits per month.
Work RVU
4.36
2026 Medicare pays
$258.86
National GPCI · non-facility · CF $33.4009
RVU anatomyWork 4.36 + Practice 3.07 + Malpractice 0.32 = 7.75 total
Work (your effort)Practice expenseMalpractice
When to use it
Pediatric ESRD ages 2-11, 4+ face-to-face dialysis visits in the calendar month.
Documentation checklist
- ✓4+ face-to-face visits.
- ✓Pediatric-specific monitoring elements.
Common pitfalls
- !Match age category exactly.
Common ICD-10 pairings
N18.6
Educational reference, not billing or legal advice. Verify against your payer contracts and your compliance team before submission.