Nephrology · CMS status A
90963
Esrd home pt serv p mo <2yrs
ESRD related services for home dialysis per full month, age <2.
Published by RVUDoc. Numeric data: CMS RVU26C, effective 2026-07-01. Page updated 2026-09-23. Calculation limits and editorial policy.
Work RVU
12.09
National non-QP estimate
$626.27
National GPCI · non-facility · CF $33.4009
Fee-schedule estimate before claim adjustments. Coverage, setting and payer rules still apply.
RVU anatomyWork 12.09 + Practice 5.91 + Malpractice 0.75 = 18.75 total
Work (your effort)Practice expenseMalpractice
Billing guidance for 90963 is locked
- When to use it: the exact clinical situations that support billing 90963
- Documentation checklist: the 1 elements your note needs before submitting
- Common pitfalls: the 1 mistakes that get 90963 downcoded or denied
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Common ICD-10 pairings
N18.6
See what 90963 adds to your year
Add it to the wRVU calculator with your own volume, or paste a note and let the chart audit check your coding.
Educational reference, not billing or legal advice. Verify against your payer contracts and your compliance team before submission.