90961 Esrd srv 2-3 vsts p mo 20+
Also known as: ESRD services adult, Dialysis management adult, Renal disease management
End-stage renal disease services, monthly evaluation and management of dialysis patient with 2-3 visits per month for patients ages 20 years and older.
In Plain Language
Kidney failure treatment; Dialysis care
Clinical Context
Comprehensive monthly nephrology services for end-stage renal disease dialysis patients ages 20 and older with moderate visit frequency.
RVU Breakdown
| Work RVU | 5.52 |
| Total RVU | 5.52 |
Est. Medicare Payment
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 5.52, this code ranks in the 93rd percentile among Medicine codes — 7.1x the median (0.78). The highest wRVU in this category is 23.92.
Specialties
Frequently Asked Questions
What is CPT code 90961?
CPT 90961 (Esrd srv 2-3 vsts p mo 20+) is a Medicine code. End-stage renal disease services, monthly evaluation and management of dialysis patient with 2-3 visits per month for patients ages 20 years and older.
Who uses CPT code 90961?
CPT 90961 is used by Nephrology, Internal Medicine. Comprehensive monthly nephrology services for end-stage renal disease dialysis patients ages 20 and older with moderate visit frequency.
When is CPT 90961 used?
Comprehensive monthly nephrology services for end-stage renal disease dialysis patients ages 20 and older with moderate 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.