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End-stage renal disease (ESRD) related services monthly, for patients 2-11 years of age to include monitoring for the adequacy of nutrition, assessment of growth and development, and counseling of parents; with 4 or more face-to-face visits by a physician

CPT4 code

Name of the Procedure:

End-stage Renal Disease (ESRD) Related Services Monthly for Patients Aged 2-11 Years with Monitoring, Assessment, and Counseling

Summary

End-stage renal disease (ESRD) related services for children aged 2-11 years include regular monitoring of nutrition, assessment of growth and development, and counseling for parents to manage the child's health. This service involves multiple face-to-face visits with a physician to ensure comprehensive care.

Purpose

Medical Condition Addressed: End-stage renal disease (ESRD), where the kidneys can no longer function properly.

Goals and Expected Outcomes:

  • Ensure adequate nutrition for the child's health and development.
  • Regularly assess the child's growth and adjust treatments as necessary.
  • Provide parents with counseling and support to effectively manage the child's condition.

Indications

Specific Symptoms or Conditions:

  • Diagnosis of end-stage renal disease (ESRD).
  • Symptoms of poor growth or malnutrition due to ESRD.

Patient Criteria:

  • Children aged 2-11 years diagnosed with ESRD.
  • Patients requiring comprehensive monthly care.

Preparation

Pre-procedure Instructions:

  • Ensure the child follows prescribed dietary and fluid restrictions.
  • Schedule all necessary blood tests and imaging studies as per the physician’s instructions before visits.

Required Diagnostic Tests:

  • Regular blood tests to monitor kidney function and nutritional status.
  • Growth measurements and possibly imaging studies to assess development.

Procedure Description

Steps Involved:

  1. Face-to-Face Visits: The physician meets with the child and parents at least four times a month.
  2. Monitoring Nutrition: Review dietary intake, conduct blood tests, and make necessary nutritional plan adjustments.
  3. Growth and Development Assessment: Measure height, weight, and developmental milestones; compare against growth charts.
  4. Parental Counseling: Educate and support parents in managing the child’s condition, covering topics such as medication, dialysis (if applicable), and lifestyle adjustments.

Tools and Equipment:

  • Growth charts
  • Nutritional assessment tools
  • Blood pressure monitors
  • Laboratory facilities for blood tests

Anesthesia or Sedation:

  • Not typically required for routine visits and assessments.

Duration

  • Each face-to-face visit may last between 30 minutes to 1 hour.
  • Total monthly time may vary based on individual needs and specific issues addressed.

Setting

  • Typically conducted in an outpatient clinic or specialized renal care center.

Personnel

  • Pediatric nephrologist
  • Dietitian
  • Nurse or medical assistant
  • Social worker or counselor for parental support

Risks and Complications

Common Risks:

  • Discomfort from blood tests or nutritional assessments.
  • Emotional stress for both the child and parents.

Rare Risks:

  • Potential complications from adjusting treatment plans, such as dietary changes causing temporary discomfort.

Management:

  • Regular follow-up and coordination with healthcare providers to manage any arising issues.

Benefits

  • Improved nutritional status and growth.
  • Better management of ESRD symptoms.
  • Enhanced parental knowledge and ability to care for the child.

Realization of Benefits:

  • Most benefits are ongoing and will become evident over months of consistent care.

Recovery

Post-Procedure Care:

  • Continued adherence to dietary and medication plans as prescribed.
  • Regular follow-up visits to monitor progress.

Recovery Time:

  • Ongoing management, as ESRD is a chronic condition.

Restrictions and Follow-Up:

  • Age-appropriate activities encouraged.
  • Follow-up appointments as recommended by the physician.

Alternatives

Other Treatment Options:

  • Dialysis: Hemodialysis or peritoneal dialysis if necessary.
  • Kidney Transplant: Considered in severe cases and when a suitable donor is available.

Pros and Cons of Alternatives:

  • Dialysis requires regular sessions and can be burdensome.
  • Kidney transplant offers a possible long-term solution but involves waiting for a donor and potential surgical risks.

Patient Experience

During the Procedure:

  • Regular visits may involve routine checks, blood draws, and discussions.
  • Minimal physical discomfort, with a focus on empathetic care.

After the Procedure:

  • Routine blood tests and monitoring may cause brief discomfort.
  • Continuous support and guidance from healthcare professionals to manage living with ESRD.

Pain Management and Comfort Measures:

  • Use of topical numbing agents for blood draws if necessary.
  • Psychological support for the child and family to cope with the chronic condition.

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