CPT® Code 90952

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 2-3 face-to-face visits by a physician or other qualified health care professional per month

End-stage renal disease (ESRD) related services are specialized medical services provided to patients suffering from severe kidney dysfunction, specifically for those younger than 2 years of age. These services are crucial for managing the complex needs of infants and toddlers with ESRD, ensuring that their nutritional requirements are met, and monitoring their growth and development. The physician or qualified healthcare professional plays a vital role in establishing the dialysis regimen, which is essential for the patient's health. This includes conducting outpatient evaluations and management services that are directly related to the dialysis process. The healthcare provider is responsible for overseeing the patient's care throughout the month, which encompasses not only in-person visits but also necessary telephone follow-ups to address any emerging concerns. During these monthly services, the healthcare professional routinely examines the patient to identify any existing or potential medical issues. They are also prepared to respond to new symptoms or problems as they arise. The physician ensures that the dialysis treatment is being administered according to the prescribed plan and makes any necessary adjustments to the dialysis prescription based on the patient's condition. This includes monitoring the patient's weight, providing dietary recommendations, and prescribing specialized renal nutritional supplements when required. Additionally, the healthcare provider reviews laboratory data to track the patient's health status and monitors medications and nutritional supplements, making changes as needed to optimize the patient's care. If there are delays in the child's growth or development, appropriate interventions, such as the administration of growth hormones, may be initiated. The healthcare professional also pays attention to the child's social development and addresses any behavioral or educational challenges that may arise. Importantly, the physician or healthcare provider offers counseling to parents and caregivers, addressing their questions and concerns to support the overall well-being of the child. These comprehensive ESRD services are encapsulated in a single code, which is billed once per month, reflecting the number of face-to-face visits conducted during that period.