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
When to use it
Adult ESRD with exactly 1 face-to-face dialysis visit in the calendar month.
Documentation checklist
- ✓Single visit documented.
- ✓Monthly ESRD assessment narrative.
Common pitfalls
- !Zero face-to-face visits in a month = use 90970 per diem.
Common ICD-10 pairings
N18.6
Educational reference, not billing or legal advice. Verify against your payer contracts and your compliance team before submission.