Nephrology · CMS status A
90957
ESRD MCP, 12-19yr, 4+ visits/mo
ESRD related services monthly, ages 12-19 years, 4+ face-to-face visits per month.
Work RVU
4.13
2026 Medicare pays
$243.16
National GPCI · non-facility · CF $33.4009
RVU anatomyWork 4.13 + Practice 2.85 + Malpractice 0.30 = 7.28 total
Work (your effort)Practice expenseMalpractice
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.