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90963 Esrd home pt serv p mo <2yrs

Medicine

Also known as: ESRD home dialysis, Home renal disease care, Pediatric home dialysis

End-stage renal disease services for home dialysis patient, monthly evaluation and management for patients under 2 years old.

In Plain Language

Home kidney treatment; Home dialysis care

Clinical Context

Comprehensive monthly nephrology services for end-stage renal disease patients managed at home using peritoneal dialysis or home hemodialysis.

RVU Breakdown

Work RVU12.09
Total RVU12.09

Est. Medicare Payment

$403.81

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 12.09, this code ranks in the 98th percentile among Medicine codes — 15.5x the median (0.78). The highest wRVU in this category is 23.92.

Specialties

NephrologyPediatricsInternal Medicine

Frequently Asked Questions

What is CPT code 90963?

CPT 90963 (Esrd home pt serv p mo <2yrs) is a Medicine code. End-stage renal disease services for home dialysis patient, monthly evaluation and management for patients under 2 years old.

Who uses CPT code 90963?

CPT 90963 is used by Nephrology, Pediatrics, Internal Medicine. Comprehensive monthly nephrology services for end-stage renal disease patients managed at home using peritoneal dialysis or home hemodialysis.

When is CPT 90963 used?

Comprehensive monthly nephrology services for end-stage renal disease patients managed at home using peritoneal dialysis or home hemodialysis.

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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.