Nephrology · CMS status A
90960
ESRD service mo adult 4 visits
End-stage renal disease related services, monthly, for patients 20 years and older, with 4 or more face-to-face visits per month.
Work RVU
4.30
2026 Medicare pays
$200.74
National GPCI · non-facility · CF $33.4009
RVU anatomyWork 4.30 + Practice 1.39 + Malpractice 0.32 = 6.01 total
Work (your effort)Practice expenseMalpractice
Billing guidance for 90960 is locked
- When to use it: the exact clinical situations that support billing 90960
- Documentation checklist: the 2 elements your note needs before submitting
- Common pitfalls: the 2 mistakes that get 90960 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.