Pediatric Nephrology EHR and AI Medical Billing Software

Pediatric nephrologists care for children with kidney disease, from nephrotic syndrome to dialysis and transplant. XEHR keeps labs, blood pressure, growth and dialysis care together.

Book a pediatric nephrology demo See pricing

Chart · Office visit

Lastname, Firstname M. Sample patient · DOB 01/01/1980 · Commercial

Eligible

BP128/82

HR72

BMI26.4

Temp98.6

Progress noteAI Scribe draft

Swelling around eyes; protein in urine.

N04.9 Nephrotic syndrome with unspecified morphologic changes

ReviewSign note

Diagnosis carried to the claimN04.9

THE HARD PARTS

What makes pediatric nephrology billing hard

Dialysis billed by age

The monthly dialysis service for children depends on age and the number of visits.

Blood pressure by percentile

Children’s blood pressure is judged against age, sex and height percentiles.

Transplant follow-up

Drug levels and rejection risk need close tracking.

WHERE THE WORK HAPPENS

How pediatric nephrology care is delivered and billed

Pediatric nephrologists work in children’s hospitals, clinics and pediatric dialysis units. Visits and hospital consults are billed on the professional claim; dialysis is billed as a monthly service whose level depends on the child’s age. Transplant care is shared with surgery and pharmacy teams.

What payers check on pediatric nephrology claims

The monthly dialysis service for children is billed by age band and number of face-to-face visits.
Chronic kidney disease stage is coded separately from the cause.
Kidney transplant status is reported with the condition treated.
Hypertension in children is defined by percentiles that must be documented.
Growth hormone for children with kidney disease requires prior authorization.

Common pediatric nephrology diagnoses ICD-10-CM

N04.9	Nephrotic syndrome with unspecified morphologic changes
N18.4	Chronic kidney disease, stage 4 (severe)
N18.6	End stage renal disease
I15.9	Secondary hypertension, unspecified
Q61.3	Polycystic kidney, unspecified
Z94.0	Kidney transplant status

Examples only. The provider chooses the code that matches the documented diagnosis, and XEHR checks it against the note and the payer's rules before the claim goes out.

A VISIT ON XEHR

A pediatric nephrology visit, start to payment

1
Labs and pressure

Kidney labs are trended and blood pressure is shown with its percentile.
2
Adjust treatment

Medicines and diet are adjusted and documented.
3
Count dialysis visits

Face-to-face dialysis visits in the month are recorded.
4
Bill each setting

Clinic, hospital and dialysis services go out on checked claims.

How XEHR helps

From the pediatric nephrology visit to the payment

Visits countedDialysis visits in the month are counted for the right service level.
Percentiles calculatedBlood pressure is shown with its percentile.
Levels trendedTransplant drug levels and labs are trended.
AI that waits for youThe AI drafts notes and prepares claims; your providers sign and your billers approve.

Claim · CMS-1500

Sample claimLastname, Firstname M. · DOS 03/04/2026

Scrub passed

Scrubbed
Submitted
Accepted
Paid

Service	Dx	Units	Charge
Office visit	E11.9	1	145.00
A1c test	E11.9	1	28.00
Total			173.00

ERA postedPayment applied, no re-keying

Agentic AI for pediatric nephrology

AI medical billing for pediatric nephrology practices

XEHR is an agentic EHR: AI agents do the administrative work around every pediatric nephrology visit, and your team approves what matters. How agentic AI works

Before the claim leaves

The claim-check agent looks for

The monthly dialysis service for children is billed by age band and number of face-to-face visits.
Chronic kidney disease stage is coded separately from the cause.
Kidney transplant status is reported with the condition treated.
Hypertension in children is defined by percentiles that must be documented.

Around the visit

Agents run on their own

Coverage checked before each pediatric nephrology visit
The visit note drafted for the provider to sign
Insurance payments matched and posted
Open claims tracked, denials read and appeals drafted

People decide

Your team stays in charge

Providers sign every note
Billers approve every claim and appeal
Staff submit prior authorizations
Any check can be overridden, with a reason

BUYER'S GUIDE

Questions to ask before you choose a pediatric nephrology EHR

Ask every vendor, including us. The answers show whether a system was built for pediatric nephrology work or only adapted to it.

Ask us on a demo

Is the monthly dialysis service billed by age band and visit count?
Is blood pressure shown with its percentile?
Are transplant drug levels trended?
Is the stage of kidney disease coded separately from the cause?
Can growth hormone approvals be prepared?

QUESTIONS

Pediatric Nephrology practices ask us

Does XEHR support pediatric dialysis billing?

Yes. Visits are counted and the monthly service is billed at the level age and visits support.

Can XEHR track transplant drug levels?

Yes. Levels and labs are trended in the chart.

Does XEHR show blood pressure percentiles for children?

Yes. Percentiles are calculated from age, sex and height.

Can XEHR coordinate with pediatric urology?

Yes. Referrals, imaging and notes are shared from the same record.

Does XEHR support pediatric dialysis units?

Yes. Visits are counted and the monthly service billed.

Can XEHR record diet plans for kidney disease?

Yes. Dietitian plans are documented in the chart.

Can hospital consults be billed?

Yes. Consults carry the hospital place of service.

How much does XEHR cost for a pediatric nephrology practice?

Pricing is published: $189 per provider per month for the Clinical plan, $449 per provider per month for the Practice Suite with billing, or 2.5% of collections for RCM as a Service. Month-to-month, with a BAA on every plan. See pricing.

How long does it take a pediatric nephrology practice to go live?

Small practices are usually live in 2 to 4 weeks, including setup, data migration and training. We agree the plan with you before you sign.

Related specialties

See all specialties

See XEHR set up for pediatric nephrology

A 30-minute walkthrough on a live test environment, with your specialty's templates and billing.

Book a demo See pricing