90957
NephrologyCMS status: AESRD related services monthly, ages 12-19 years, 4+ face-to-face visits per month.
Work RVU
4.13
Practice RVU
2.85
Malpractice RVU
0.30
Total RVU
7.28
2026 Medicare payment
$243.16
National GPCI = 1.000 · Conversion factor $33.4009 · Non-facility
Model this code
Drop 90957 into a scenario to see how unit volume rolls up to annual wRVUs, gross collections, and bonus.
Open in calculator →When to use it
Adolescent ESRD ages 12-19, 4+ face-to-face dialysis visits in the calendar month.
Documentation checklist
- ✓4+ face-to-face visits.
- ✓Transition planning to adult care.
Common pitfalls
- !Switch to adult MCP (90960-90962) at age 20.
Common ICD-10 pairings
N18.6
Educational reference, not billing or legal advice. Verify against your payer contracts and your compliance team before submission.