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
Billing guidance for 90961 is locked
- When to use it: the exact clinical situations that support billing 90961
- Documentation checklist: the 2 elements your note needs before submitting
- Common pitfalls: the 1 mistakes that get 90961 downcoded or denied
Start your free 3-month trial →Every new account gets full Pro Max access for 3 months. No card needed.
Common ICD-10 pairings
N18.6
Educational reference, not billing or legal advice. Verify against your payer contracts and your compliance team before submission.