End-stage renal disease (ESRD) related services monthly, for patients 12-19 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 physicia
CPT4 code
Name of the Procedure:
End-Stage Renal Disease (ESRD) Related Services Monthly
Common name(s) and Technical Terms:
Monthly ESRD Care for Adolescents, ESRD Management for Ages 12-19
Summary
This involves comprehensive monthly care for adolescents aged 12-19 with end-stage renal disease (ESRD). The care includes monitoring nutrition adequacy, assessing growth and development, and counseling parents. It requires four or more face-to-face visits by a physician each month.
Purpose
To manage and monitor the health status of adolescents with ESRD effectively. The goals are to ensure adequate nutrition, encourage proper growth and development, and provide support and education to parents.
Indications
- Diagnosed with end-stage renal disease (ESRD)
- Age between 12-19 years
- Requires consistent medical monitoring and support
Preparation
- No specific preparation required for regular visits.
- Bring any recent lab results or medical records.
- Maintain a log of nutritional intake and growth metrics if possible.
Procedure Description
- Monitoring Nutrition: Evaluate the patient’s dietary intake and nutritional status, including lab tests if necessary.
- Growth and Development Assessment: Regularly measure height, weight, and other growth indicators.
- Counseling: Provide guidance and support to parents on managing ESRD, including dietary adjustments, medication adherence, and overall care strategies.
This involves a combination of physical examinations, reviewing medical histories, and blood tests if needed.
Duration
Each visit lasts about 30-60 minutes.
Setting
- Outpatient clinic
- Hospital
- Dialysis center
Personnel
- Nephrologist (kidney specialist)
- Pediatrician
- Dietitian
- Nurse
Risks and Complications
- Minimal risks involved as it is a monitoring and counseling service.
- Possible blood draw for lab tests which might cause minor discomfort or bruising.
Benefits
- Improved management of ESRD symptoms.
- Enhanced nutritional status and growth.
- Better understanding and support for the family.
- Early detection of potential complications.
Recovery
- Not applicable as it involves regular check-ups rather than a single procedure.
- Follow regular diet and medication.
- Attend all scheduled appointments.
Alternatives
- Telehealth visits for routine check-ups if face-to-face visits are impractical.
- Enrolled in a comprehensive ESRD management program with potentially fewer in-person visits.
- Pros and cons: Telehealth offers convenience but may lack the thoroughness of physical examinations.
Patient Experience
- Depending on the venue, the patient might experience routine medical assessments.
- Minor discomfort from blood tests.
- Parents will receive essential counseling and support from medical professionals.
- Overall, the focus is on providing a supportive environment to manage ESRD effectively.