CPT® Code 90958

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 2-3 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 monitor and support the patient's nutritional needs, assess their growth and development, and provide counseling to their parents or caregivers. The physician or other qualified healthcare professional plays a crucial role in establishing the dialysis regimen, conducting evaluations and management services pertinent to the dialysis process, and overseeing the patient's overall health throughout the month. This includes routine examinations to identify any existing or potential medical issues, as well as addressing new symptoms or complications as they arise. The healthcare provider ensures that dialysis treatments are administered according to the prescribed plan and makes necessary adjustments based on the patient's condition, which may involve monitoring weight, advising on dietary and fluid intake, and prescribing specialized renal nutritional supplements when required. Additionally, the provider reviews laboratory results, monitors medications and nutritional supplements, and implements interventions for any growth or developmental delays, which may include the administration of growth hormones. Social and behavioral development is also assessed, with attention given to any issues related to school or behavior. Throughout this process, the physician or qualified healthcare professional offers guidance and support to parents and caregivers, addressing their inquiries and concerns. The services associated with ESRD are encapsulated within a single code, which is reported once per month, reflecting the number of face-to-face visits conducted. Specifically, CPT® Code 90958 is applicable for 2-3 face-to-face visits per month, while other codes are designated for different visit frequencies.