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90969 Esrd service pr day pt 12-19

Medicine

Also known as: ESRD service 12-19, renal disease service, dialysis monthly service

End-stage renal disease service per day for patients aged 12-19 years, including the full range of clinical services for dialysis management.

In Plain Language

Kidney disease monthly care for teenagers; dialysis support services for adolescents

Clinical Context

Used for comprehensive chronic kidney disease management in pediatric patients undergoing dialysis therapy. Includes monitoring, nutritional counseling, and psychosocial support.

RVU Breakdown

Work RVU0.33
Total RVU0.33

Est. Medicare Payment

$11.02

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 0.33, this code ranks in the 20th percentile among Medicine codes — 2.4x below the median (0.78). The highest wRVU in this category is 23.92.

Specialties

NephrologyPediatric MedicineInternal Medicine

Frequently Asked Questions

What is CPT code 90969?

CPT 90969 (Esrd service pr day pt 12-19) is a Medicine code. End-stage renal disease service per day for patients aged 12-19 years, including the full range of clinical services for dialysis management.

Who uses CPT code 90969?

CPT 90969 is used by Nephrology, Pediatric Medicine, Internal Medicine. Used for comprehensive chronic kidney disease management in pediatric patients undergoing dialysis therapy. Includes monitoring, nutritional counseling, and psychosocial support.

When is CPT 90969 used?

Used for comprehensive chronic kidney disease management in pediatric patients undergoing dialysis therapy. Includes monitoring, nutritional counseling, and psychosocial support.

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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.