CPT code 90964 represents monthly provider management of all provider-related services for pediatric patients aged 2 to 11 receiving home dialysis for end stage renal disease (ESRD). This code captures the ongoing clinical oversight, coordination, and management activities that support chronic dialysis delivered in the home setting for young children — an important area of pediatric nephrology care as home modalities expand and clinical teams manage complex, long-term needs.

Key payers included in this national review are Aetna, Blue Cross Blue Shield, Cigna Health, UnitedHealthcare, and Medicare. Readers will find a concise explanation of what the code covers clinically, the typical site of service, and the population it serves. The publication also summarizes payer coverage patterns, billing considerations, and common modifiers used with this service (modifiers list provided in input). Where available, benchmarks and policy updates that affect reimbursement and authorization for pediatric home dialysis management are summarized to help coding, billing, and clinical teams align documentation and claims with payer expectations.

This national overview is intended to clarify clinical scope and administrative context for CPT code 90964, helping health system leaders, coders, and clinicians understand the role of this monthly management code in pediatric ESRD home care.