CPT code 90953: Monthly ESRD services, one visit, under age 22026 Medicare rate & RVUs

Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.

What 90953 covers

90953 identifies monthly ESRD services for a patient younger than 2 years when one visit is furnished during the month. It is part of the age- and visit-count-based monthly ESRD service series. For patients younger than 2, 90951 is the code for four or more visits and 90952 covers two to three visits; 90953 is the one-visit code. Codes 90954 through 90962 cover other age groups, while 90963 through 90966 identify monthly services for home patients.

Medicare assigns 90953 physician fee schedule status C, or carrier priced: CMS publishes no national payment, and the Medicare Administrative Contractor sets payment for each claim. The code identifies a monthly service, distinguished from the per-day ESRD service label for patients younger than 2. Selection within the monthly series follows the patient's age group and the number of visits during the month.

This summary was written with AI assistance from CMS physician fee schedule data and checked against the CMS billing rules shown here. Rates on this page come directly from CMS files.

Where 90953 pays more and less

The same RVUs, adjusted for each area’s costs. Open a locality for its calculation, history and nearby areas.

109 of 109 payment localities

90953 rates by state

Office rate range in each state. Select a state to see its payment localities.

How the 90953 rate is calculated

Each of 90953’s three RVUs is multiplied by a geographic index (GPCI) for the payment locality, added up, and multiplied by the conversion factor. Drag the indexes or enter a ZIP to see what moves the rate.

Payment rules and modifiers for 90953

90953 has no global surgery period, no multiple-procedure, bilateral or assistant-at-surgery adjustment, and no professional/technical split. What changes the payment is where the service happens: the place of service on the claim decides whether Medicare pays the office or the facility rate.

90953 compared with similar codes

How to choose

90951ESRD monthly careUnder 2 years, 4+ visits

Both are monthly ESRD service codes for patients younger than 2. Code 90951 is for four or more visits; 90953 is for one visit.

90952ESRD monthly services2-3 visits, under age 2

Both are monthly codes for patients younger than 2. Code 90952 is for two to three visits; 90953 is for one.

90956ESRD serviceAges 2–11, one monthly visit

Both represent monthly ESRD services with one visit. Code 90956 is for patients ages 2 through 11; 90953 is for patients younger than 2.

90963ESRD managementHome dialysis, under age 2

Code 90963 identifies monthly ESRD services for a home patient younger than 2; 90953 is the one-visit code in the other monthly ESRD service series.

Codes related to 90953

Related codes aren’t interchangeable: bill the code that matches the service performed.

Where these rates come from

FeeBase calculates base physician payments from CMS work, practice-expense and malpractice RVUs, adjusted by each locality’s geographic indexes and the conversion factor. Services without a published rate are labeled, never given a made-up amount. Amounts are Medicare allowed amounts before claim adjustments: not a patient’s bill or a commercial rate.

CMS RVU26D · effective Oct 1, 2026 through the day before Jan 1, 2027

Open CMS sourceHow we calculate rates