CPT® Code 90957

End-stage renal disease (ESRD) related services monthly, for patients 12-19 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 aged 12 to 19 years who are experiencing the advanced stages of kidney failure. These services are delivered on a monthly basis in an outpatient setting and are designed to address the unique needs of adolescents facing this serious health condition. The primary focus of these services includes monitoring the adequacy of nutrition, which is crucial for maintaining the overall health and well-being of the patient, as well as assessing growth and development to ensure that the patient is progressing appropriately despite their medical challenges. Additionally, counseling for parents is an integral component of the care provided, as it helps them understand the complexities of managing their child's condition and supports them in making informed decisions regarding treatment and lifestyle adjustments. The physician or other qualified health care professional plays a vital role in establishing the dialysis regimen, conducting evaluations and management services related to dialysis, and providing ongoing oversight throughout the month. This includes routine examinations to identify any existing or potential medical issues, as well as addressing new symptoms as they arise. The comprehensive nature of these ESRD services is encapsulated in a single code, which reflects the number of face-to-face visits required for effective management of the patient's condition.