Nephrology · CMS status A
90962
ESRD service mo adult 1 visit
ESRD related services monthly, age 20+, with 1 face-to-face visit per month.
Work RVU
1.74
2026 Medicare pays
$81.16
National GPCI · non-facility · CF $33.4009
RVU anatomyWork 1.74 + Practice 0.56 + Malpractice 0.13 = 2.43 total
Work (your effort)Practice expenseMalpractice
Billing guidance for 90962 is locked
- When to use it: the exact clinical situations that support billing 90962
- Documentation checklist: the 2 elements your note needs before submitting
- Common pitfalls: the 1 mistakes that get 90962 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.