90961
NephrologyCMS status: AESRD related services monthly, age 20+, with 2-3 face-to-face visits per month.
Work RVU
3.47
Practice RVU
1.12
Malpractice RVU
0.26
Total RVU
4.85
2026 Medicare payment
$161.99
National GPCI = 1.000 · Conversion factor $33.4009 · Non-facility
Model this code
Drop 90961 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 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.