( ESRD) study guide verified to pass
2026
Codes 90951-90962 - are reported once per month to distinguish age specific services related to the
patients ESRD performed in out patient setting with three levels of service based on number of face to
face visits - correct answer ✔When the patient has had a complete assessment visit during the month
and services are provided over a period of less than a month, then 90951-90962 should be used
according to the number of visits
Codes 90963-90966 - are reported once per month for a full month of service to distinguish age specific
services for ESRD for home dialysis patients. - correct answer ✔For ESRD and non ESRD dialysis service
performed in an inpatient setting, and for non ESRD dialysis services performed in an outpatient setting
see 90935-90937 and 90945-90947
E/M services unrelated to ESRD services that cannot be performed during the dialysis session maybe
reported separately. - correct answer ✔Codes 90967-90970- are reported to ESRD services for less
than a full month of service per day, example the patient was hospitalized before a complete
assessment was furnished
If the patient did not have a complete assessment during the month or was a transient or stopped due
to recovery or death, code 90970 would be used to report each day outside the inpatient hospitalization
- correct answer ✔HEMODIALYSIS codes 90935-90937 are reported to describe the hemodialysis
procedure with all E/M services related to the patients renal disease on the day of the hemodialysis
procedure.
90935-90937 - are used for inpatient ESRD and non- ESRD procedures or for outpatient non - ESRD
dialysis services.
Code 90935 - is reported if only one evaluation of the patient is required related to the hemodialysis
procedure.