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CPT code 90935: Hemodialysis, one clinician evaluation2026 Medicare rate & RVUs

Reports a hemodialysis treatment when a physician or qualified health professional evaluates the patient once during the treatment.

CMS RVU26DEffective Oct 1, 2026109 payment localities507.4K Medicare services in 2024

Medicare pays $61.46 for 90935 nationally in a facility.

Medicare rate · 90935

Hemodialysis, one clinician evaluation

Office or facility?

Work RVUs
1.44
Total RVUs
1.84
Global days
000

National rate · 2026

$61.46

Facility setting, before claim adjustments.

See every locality for 90935 →Billed by an NP, PA or therapist? →

Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.

Your location

Medicare pays by the payment locality where the service is performed.

On this page 10 sections
  1. Medicare rate
  2. What 90935 covers
  3. By payment locality
  4. Rate map
  5. How it’s calculated
  6. Payment rules
  7. Similar codes
  8. Related codes
  9. Billing questions
  10. Sources

What 90935 covers

CPT 90935 describes a hemodialysis treatment with one evaluation of the patient by a physician or other qualified health professional. Nephrologists commonly report it for a treatment in a hospital or dialysis facility when they assess the patient during hemodialysis and manage the treatment based on that assessment. It represents treatment-level care, rather than monthly ESRD management.

Report 90935 for the treatment when the clinician performs one evaluation; use 90937 when repeated evaluations are required. The record should identify the hemodialysis treatment, document the clinician’s evaluation and management, and support the number of evaluations. CMS assigns a 0-day global period, so same-day preoperative and postoperative care is included. Modifier 50 is inappropriate for this service. CMS allows assistant-at-surgery payment only with documented medical necessity and does not permit co-surgeon or team-surgery billing.

This summary was written with AI assistance from CMS physician fee schedule data and checked against the CMS billing rules shown here. Rates on this page come directly from CMS files.

Where 90935 pays more and less

The same RVUs, adjusted for each area’s costs. Open a locality for its calculation, history and nearby areas.

109 of 109 payment localities

90935 office and facility rates by payment locality
Payment localityOfficeFacility
AlabamaUnavailable$58.96
AlaskaUnavailable$85.00
ArizonaUnavailable$60.74
ArkansasUnavailable$58.65
Atlanta, GAUnavailable$62.31
Austin, TXUnavailable$61.87
Bakersfield, CAUnavailable$62.35
Baltimore area, MDUnavailable$63.64
Beaumont, TXUnavailable$60.31
Brazoria, TXUnavailable$61.16

90935 rates by state

Office rate range in each state. Select a state to see its payment localities.

MEWIVTNHMTNDMNMINYMARIWAIDWYSDIAILINOHPANJCTORNVUTCONEMOKYWVVAMDDECAAZNMKSOKARTNNCSCDCTXLAMSALGAFLAKHI

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Local rates. Clear comparisons.

Hover or focus a tile to see its rate range. Select it to open the state’s fee schedule.

View every state and territory as a table
90935 office rate range by state
State / territoryOffice rate rangeLocalities
AKNo published base rate1
ALNo published base rate1
ARNo published base rate1
AZNo published base rate1
CANo published base rate29
CONo published base rate1
CTNo published base rate1
DCNo published base rate1
DENo published base rate1
FLNo published base rate3
GANo published base rate2
GUNo published base rate1
HINo published base rate1
IANo published base rate1
IDNo published base rate1
ILNo published base rate4
INNo published base rate1
KSNo published base rate1
KYNo published base rate1
LANo published base rate2
MANo published base rate2
MDNo published base rate3
MENo published base rate2
MINo published base rate2
MNNo published base rate1
MONo published base rate3
MSNo published base rate1
MTNo published base rate1
NCNo published base rate1
NDNo published base rate1
NENo published base rate1
NHNo published base rate1
NJNo published base rate2
NMNo published base rate1
NVNo published base rate1
NYNo published base rate5
OHNo published base rate1
OKNo published base rate1
ORNo published base rate2
PANo published base rate2
PRNo published base rate1
RINo published base rate1
SCNo published base rate1
SDNo published base rate1
TNNo published base rate1
TXNo published base rate8
UTNo published base rate1
VANo published base rate2
VINo published base rate1
VTNo published base rate1
WANo published base rate2
WINo published base rate1
WVNo published base rate1
WYNo published base rate1

How the 90935 rate is calculated

Each of 90935’s three RVUs is multiplied by a geographic index (GPCI) for the payment locality, added up, and multiplied by the conversion factor. Drag the indexes or enter a ZIP to see what moves the rate.

How the rate is built · 90935

RVUs × geographic indexes × conversion factor

Office or facility?

Work1.44

1.44 RVUs× 1.000 GPCI

Practice expense0.32

0.32 RVUs× 1.000 GPCI

Malpractice0.08

0.08 RVUs× 1.000 GPCI

Adjusted RVUs

1.8400

Conversion factor

$33.4009

Medicare rate

$61.46

Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.

Payment rules and modifiers for 90935

The CMS indicators that decide how 90935 is paid alongside other services.

CMS payment indicators · 90935

Hemodialysis, one clinician evaluation

RuleCMS valueWhat it means
Global period000Same-day global: pre- and post-op care on the day of the procedure is included.
Multiple procedures0No multiple-procedure reduction.
Bilateral (modifier 50)0The 150% bilateral adjustment doesn’t apply.
Assistant at surgery (80/81/82/AS)0Not paid without supporting documentation.
Co-surgeons (62)0Not permitted.
Team surgery (66)0Not permitted.
Professional/technical0Physician service: no professional/technical split.

90935 compared with similar codes

Compare codes · National

4 codes, side by side

Office or facility?

  • 90935

    Hemodialysis, one clinician evaluation1.44 wRVU

    Not priced

  • 90937

    Hemodialysis, repeated physician evaluations2.06 wRVU

    Not priced

  • 90945

    Dialysis evaluation, other than hemodialysis, single evaluation1.52 wRVU

    Not priced

  • 90947

    Dialysis evaluation, repeated evaluations2.46 wRVU

    Not priced

How to choose

90937HemodialysisRepeated physician evaluations
Both describe hemodialysis treatment-level services. Choose 90935 for one evaluation and 90937 when repeated evaluations are required.
90945Dialysis evaluationOther than hemodialysis, single evaluation
90945 describes a single-evaluation dialysis procedure other than hemodialysis; 90935 is specific to hemodialysis.
90947Dialysis evaluationRepeated evaluations
90947 is for a dialysis procedure other than hemodialysis when repeated evaluations are required. 90935 is for hemodialysis with one evaluation.

Codes related to 90935

Related codes aren’t interchangeable: bill the code that matches the service performed.

Codes related to 90935
CodeHow it relatesNational office range
Same family
90937Hemodialysis, repeated physician evaluationsHemodialysis treatment when repeated clinician evaluations are required.No office rate
Used instead
90945Dialysis evaluation, other than hemodialysis, single evaluationSingle-evaluation dialysis service for a modality other than hemodialysis.No office rate
90947Dialysis evaluation, repeated evaluationsRepeated-evaluation dialysis service for a modality other than hemodialysis.No office rate

90935 billing questions

When should 90935 be chosen over 90937?

Use 90935 when the clinician evaluates the patient once during the hemodialysis treatment. Use 90937 when repeated evaluations are required during that treatment.

How does 90935 differ from 90945?

90935 is for hemodialysis with one evaluation. 90945 is for a dialysis procedure other than hemodialysis with one evaluation.

What documentation supports 90935?

Document the hemodialysis treatment, the clinician’s evaluation and management, and that one evaluation occurred during the treatment.

Are units based on evaluations or treatments?

Report the service for the hemodialysis treatment with one evaluation, not once for each element of the clinician’s assessment.

Can modifier 50 be appended?

No. CMS identifies modifier 50 as inappropriate for this service.

Where these rates come from

FeeBase calculates base physician payments from CMS work, practice-expense and malpractice RVUs, adjusted by each locality’s geographic indexes and the conversion factor. Services without a published rate are labeled, never given a made-up amount. Amounts are Medicare allowed amounts before claim adjustments: not a patient’s bill or a commercial rate.

CMS RVU26D · effective Oct 1, 2026 through the day before Jan 1, 2027

Show the CMS file lines behind this rate
RVUs for 90935PPRRVU2026_Oct_nonQPP.csv, line 11,559 (RVU26D)

Open CMS sourceHow we calculate rates

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