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

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

CMS RVU26DEffective Oct 1, 2026One payment locality507.4K Medicare services in 2024

In Iowa, Medicare pays $58.94 for 90935 in a facility. There’s no office rate.

Not available in this settingOffice (non-facility)
$58.94Hospital or facility

Check a contract rate as a % of Medicare · 90935 nationwide

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

We’ll open 90935 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in Iowa
  2. What 90935 covers
  3. Compared with other areas
  4. Rate map
  5. How it’s calculated
  6. Payment rules
  7. Related codes
  8. Rate history
  9. Where it applies
  10. Billing questions
  11. 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.

How Iowa compares for 90935

Across 109 of 109 payment localities, the facility rate for 90935 runs from $58.65 in Arkansas to $85.00 in Alaska. Iowa pays $58.94. The RVUs are the same everywhere; the geographic indexes change the dollars.

90935 in Iowa vs other payment areas
  1. Iowa · this page$58.94
  2. Los Angeles, CA · California$64.49+$5.55
  3. Washington, DC area · District of Columbia$66.26+$7.32
  4. Miami, FL · Florida$65.98+$7.04
  5. Chicago, IL · Illinois$65.31+$6.37
  6. Manhattan, NY · New York$67.83+$8.89
  7. Alaska · Alaska$85.00+$26.06

Other areas in Iowa first, then benchmark localities. Bars start at $0.

Every other payment area

90935 in every other Medicare payment locality
Payment localityOfficeFacility
AlabamaAlabama—$58.96
ArkansasArkansas—$58.65
ArizonaArizona—$60.74
Bakersfield, CACalifornia—$62.35
Chico, CACalifornia—$62.06
El Centro, CACalifornia—$62.07
Fresno, CACalifornia—$62.06
Hanford, CACalifornia—$62.06

90935 rates by state

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

Explore a state

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

See 90935 in every payment locality

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.

The exact Iowa inputs and CMS source lines

PPRRVU2026_Oct_nonQPP.csv

11,559

Code
90935
Physician work
1.44
Practice expense
0.32
Malpractice
0.08

GPCI2026.csv

53

Locality
Iowa
Physician work
1.000
Practice expense
0.915
Malpractice
0.397
Facility calculation for 90935 in Iowa
ComponentRVULocality factorAdjusted
Physician work1.44× 1.0001.4400
Practice expense0.32× 0.9150.2928
Malpractice0.08× 0.3970.0318
Total RVUs1.7646
Conversion factor× 33.4009

Facility rate, Iowa$58.94

Facility: (1.44 × 1 + 0.32 × 0.915 + 0.08 × 0.397) × $33.4009 = $58.94

Open 90935 in the RVU calculator

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.

How 90935 has changed in Iowa

90935 · Office / nonfacility

Rate unavailable

Effective 2026-10-01

A rate is unavailable in one of these releases, so a change cannot be calculated.

Base rate by release · bars start at $0 · select a bar to compare

One bar per available release, ordered by effective date. Missing rates remain gaps. These comparisons hold the code, setting and locality identifiers constant; they do not isolate which policy or input caused a change.

What changed, release by release
Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01Not available in this setting$58.94RVU26D
2026-07-01Not available in this setting$58.94RVU26C
2026-04-01Not available in this setting$58.94RVU26B
2026-01-01Not available in this setting$58.94RVU26A
2025-10-01Not available in this setting$65.00RVU25D
2025-07-01Not available in this setting$65.00RVU25C
2025-04-01Not available in this setting$65.00RVU25B
2025-01-01Not available in this setting$65.00RVU25A
2024-10-01Not available in this setting$66.74RVU24D
2024-07-01Not available in this setting$66.74RVU24C
2024-04-01Not available in this setting$66.74RVU24B
2024-03-09Not available in this setting$66.74RVU24AR
2024-01-01Not available in this setting$65.65RVU24A
2023-10-01Not available in this setting$67.99RVU23D
2023-07-01Not available in this setting$67.99RVU23C
2023-04-01Not available in this setting$67.99RVU23B
2023-01-01Not available in this setting$67.99RVU23A
2022-10-01Not available in this setting$69.49RVU22D
2022-07-01Not available in this setting$69.49RVU22C
2022-04-01Not available in this setting$69.49RVU22B
2022-01-01Not available in this setting$69.49RVU22A
2021-10-01Not available in this setting$69.75RVU21D
2021-07-01Not available in this setting$69.75RVU21C
2021-04-01Not available in this setting$69.75RVU21B
2021-01-01Not available in this setting$69.75RVU21A
2020-10-01Not available in this setting$71.48RVU20D
2020-07-01Not available in this setting$71.48RVU20C
2020-04-01Not available in this setting$71.48RVU20B
2020-01-01Not available in this setting$71.48RVU20A
2019-10-01Not available in this setting$71.05RVU19D
2019-07-01Not available in this setting$71.05RVU19C
2019-04-01Not available in this setting$71.05RVU19B
2019-01-01Not available in this setting$71.05RVU19A
2018-10-01Not available in this setting$70.65RVU18D
2018-07-01Not available in this setting$70.65RVU18C
2018-04-01Not available in this setting$70.65RVU18B
2018-01-01Not available in this setting$70.65RVU18AR1
2017-10-01Not available in this setting$69.97RVU17D
2017-07-01Not available in this setting$69.97RVU17C
2017-04-01Not available in this setting$69.97RVU17B
2017-01-01Not available in this setting$69.97RVU17A
2016-10-01Not available in this setting$70.12RVU16D
2016-07-01Not available in this setting$70.12RVU16C
2016-04-01Not available in this setting$70.12RVU16B
2016-01-01Not available in this setting$70.12RVU16A
2015-10-01Not available in this setting$70.23RVU15D
2015-07-01Not available in this setting$70.23RVU15C
2015-04-01Not available in this setting$69.88RVU15B
2015-01-01Not available in this setting$69.88RVU15A
2014-10-01Not available in this setting$70.04RVU14D
2014-07-01Not available in this setting$70.04RVU14C
2014-04-01Not available in this setting$70.04RVU14B
2014-01-01Not available in this setting$70.04RVU14A
2013-10-01Not available in this setting$67.59RVU13D
2013-07-01Not available in this setting$67.59RVU13C
2013-04-01Not available in this setting$67.59RVU13B
2013-01-01Not available in this setting$67.59RVU13AR

Price 90935 for an earlier date of service

Where the Iowa rate applies

Iowa is a Medicare payment area, not a city. Our Census mapping connects it to 1026 cities and communities in Iowa. Some span more than one payment area; confirm with the service ZIP.

  • Ackley
  • Ackworth
  • Adair
  • Adel
  • Afton
  • Agency
  • Ainsworth
  • Akron

Browse all communities in Iowa

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)
Geographic factors for IowaGPCI2026.csv, line 53 (RVU26D)

Open CMS sourceHow we calculate rates

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