Nephrology · CMS status A
90961
ESRD service mo adult 2-3 visits
ESRD related services monthly, age 20+, with 2-3 face-to-face visits per month.
Work RVU
3.47
2026 Medicare pays
$161.99
National GPCI · non-facility · CF $33.4009
RVU anatomyWork 3.47 + Practice 1.12 + Malpractice 0.26 = 4.85 total
Work (your effort)Practice expenseMalpractice
When to use it
Adult ESRD with 2-3 face-to-face dialysis visits in the calendar month.
Documentation checklist
- ✓Each face-to-face visit documented.
- ✓Monthly ESRD assessment elements.
Common pitfalls
- !If 4+ visits done, use 90960 (higher RVU).
Common ICD-10 pairings
N18.6
Educational reference, not billing or legal advice. Verify against your payer contracts and your compliance team before submission.