CPT code 90955 designates monthly comprehensive management of end stage renal disease (ESRD) in pediatric patients aged 2 to 11, requiring two to three face‑to‑face encounters per month. This code captures the ongoing, coordinated clinical management and oversight of dialysis-related and ESRD care for young children who require frequent assessment and intervention. Nationally, accurate use of this code supports appropriate recognition of resource intensity for pediatric ESRD care and aligns billing with the longitudinal responsibilities of providers.

Key payers covered in the analysis include Aetna, Blue Cross Blue Shield, Cigna Health, UnitedHealthcare, and Medicare. Readers will find a concise overview of clinical context for the code, typical sites of service, common modifiers, and payer coverage considerations. The publication outlines benchmarks and coverage patterns where available, explains billing and documentation implications for monthly pediatric ESRD management, and highlights any recent policy clarifications or coding guidance relevant to longitudinal pediatric dialysis care. Data not available in the input is noted where payer-specific rates, payor policies, ICD-10 pairings, and associated taxonomies are not provided.