CPT® Code 90955

End-stage renal disease (ESRD) related services monthly, for patients 2-11 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 children aged 2 to 11 years who are experiencing the advanced stages of kidney failure. This CPT® code 90955 encompasses a comprehensive range of outpatient services delivered over the course of one full month. The primary focus of these services is to monitor the adequacy of nutrition, assess the child's growth and development, and provide counseling to parents or caregivers. The physician or other qualified healthcare professional plays a crucial role in establishing the dialysis regimen, conducting evaluations and management related to the dialysis process, and ensuring that the patient receives appropriate oversight 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 is responsible for ensuring that dialysis services are administered according to the prescribed plan, making necessary adjustments to the dialysis prescription, and monitoring the patient's weight, dietary intake, and fluid consumption. Additionally, the provider may prescribe special renal nutritional supplements when required. Regular review of laboratory data is also a critical component of these services, allowing for the monitoring of medications and nutritional supplements, with adjustments made as necessary. Interventions may be initiated to address any delays in growth or development, which could include the administration of growth hormone injections. Furthermore, the healthcare professional monitors the child's social development and addresses any behavioral or academic challenges. Throughout this process, the physician or qualified healthcare professional provides essential counseling to parents and caregivers, addressing their questions and concerns. The services captured under this code are billed once per month, reflecting the number of face-to-face visits conducted, which can range from two to three visits in total.