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90959 Esrd serv 1 vst p mo 12-19

Medicine

Also known as: ESRD services adolescent, Dialysis management teen, Renal disease management

End-stage renal disease services, monthly evaluation and management of dialysis patient with 1 visit per month for patients ages 12-19 years.

In Plain Language

Kidney failure treatment; Dialysis care

Clinical Context

Comprehensive monthly nephrology services for end-stage renal disease dialysis patients ages 12-19 years with minimal visit frequency.

RVU Breakdown

Work RVU6.19
Total RVU6.19

Est. Medicare Payment

$206.75

National estimate based on 2026 CMS PFS Conversion Factor ($33.40). Actual payment varies by locality (GPCI adjustment).

Billing & Documentation

Medicine section codes cover a wide range of non-surgical services. Documentation should include the clinical indication, procedure details, interpretation (if applicable), and any patient-specific findings.

How This Code Compares

With a work RVU of 6.19, this code ranks in the 94th percentile among Medicine codes — 7.9x the median (0.78). The highest wRVU in this category is 23.92.

Specialties

NephrologyPediatricsInternal Medicine

Frequently Asked Questions

What is CPT code 90959?

CPT 90959 (Esrd serv 1 vst p mo 12-19) is a Medicine code. End-stage renal disease services, monthly evaluation and management of dialysis patient with 1 visit per month for patients ages 12-19 years.

Who uses CPT code 90959?

CPT 90959 is used by Nephrology, Pediatrics, Internal Medicine. Comprehensive monthly nephrology services for end-stage renal disease dialysis patients ages 12-19 years with minimal visit frequency.

When is CPT 90959 used?

Comprehensive monthly nephrology services for end-stage renal disease dialysis patients ages 12-19 years with minimal visit frequency.

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CPT® is a registered trademark of the American Medical Association. Data sourced from CMS Physician Fee Schedule RVU26A. Descriptions, synonyms, and clinical context are original content by RVU Edge.