90960
NephrologyCMS status: AEnd-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
Practice RVU
1.39
Malpractice RVU
0.32
Total RVU
6.01
2026 Medicare payment
$200.74
National GPCI = 1.000 · Conversion factor $33.4009 · Non-facility
Model this code
Drop 90960 into a scenario to see how unit volume rolls up to annual wRVUs, gross collections, and bonus.
Open in calculator →When to use it
Adult ESRD patient on chronic dialysis, 4+ face-to-face visits in the calendar month.
Documentation checklist
- ✓Each of the 4+ face-to-face dialysis visits documented with date and content.
- ✓Monthly assessment of fluid/electrolyte status, dialysis adequacy, access, anemia, bone disease, nutrition.
Common pitfalls
- !Cannot bill separate E/M for ESRD care that month.
- !Visits must be face-to-face — telehealth has different rules per payer.
Common ICD-10 pairings
N18.6
Educational reference, not billing or legal advice. Verify against your payer contracts and your compliance team before submission.