CPT® Code 90951

End-stage renal disease (ESRD) related services monthly, for patients younger than 2 years of age to include monitoring for the adequacy of nutrition, assessment of growth and development, and counseling of parents; with 4 or more face-to-face visits by a physician or other qualified health care professional per month

End-stage renal disease (ESRD) related services encompass a comprehensive range of medical care provided to patients suffering from severe kidney dysfunction, specifically tailored for those younger than 2 years of age. These services are delivered on a monthly basis in an outpatient setting and are designed to ensure the overall health and well-being of the child. The primary focus of these services includes monitoring the adequacy of nutrition, which is crucial for the growth and development of young patients, as well as assessing their physical and developmental milestones. Additionally, counseling for parents is an integral part of the care process, providing them with the necessary support and information to manage their child's condition effectively. The physician or other qualified healthcare professional plays a vital role in establishing the dialysis regimen, conducting evaluations and management services related to the dialysis, and overseeing the patient's care throughout the month. This includes routine examinations to identify any existing or potential medical issues, as well as addressing new symptoms or problems as they arise. The healthcare provider ensures that dialysis services are administered according to the prescribed plan and makes necessary adjustments based on the patient's condition, which may involve monitoring weight, recommending dietary changes, and prescribing specialized renal nutritional supplements. Furthermore, the healthcare professional reviews laboratory data, monitors medications and nutritional supplements, and implements interventions for any delays in growth or development, which may include the administration of growth hormones. Social development is also monitored, with attention given to any behavioral or educational challenges the child may face. Throughout this process, the physician or healthcare professional provides ongoing counseling to parents and caregivers, addressing their concerns and questions. The services associated with ESRD are encapsulated in a single code, which is reported once per month, contingent upon the number of face-to-face visits conducted during that period.