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CPT code 90945: Dialysis evaluation, other than hemodialysis, single evaluation2026 Medicare rate & RVUs

Reports a dialysis treatment other than hemodialysis with one physician or qualified health care professional evaluation during the treatment.

CMS RVU26DEffective Oct 1, 2026109 payment localities97.8K Medicare services in 2024

Medicare pays $77.16 for 90945 nationally in a facility.

Medicare rate · 90945

Dialysis evaluation, other than hemodialysis, single evaluation

Office or facility?

Work RVUs
1.52
Total RVUs
2.31
Global days
000

National rate · 2026

$77.16

Facility setting, before claim adjustments.

See every locality for 90945 →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 90945 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 90945 covers

Code 90945 captures a dialysis treatment other than hemodialysis together with one physician or other qualified health care professional evaluation during that treatment. Common contexts include nephrologist oversight of peritoneal dialysis or hemofiltration, including continuous renal replacement therapy in an acute-care setting. The service may be provided in hospital or outpatient dialysis settings and is distinct from monthly ESRD management.

Report it when the record supports a non-hemodialysis modality and one evaluation during the dialysis procedure; document the modality, treatment context, and clinician’s assessment. Use 90947 when repeated evaluations are performed for a non-hemodialysis procedure, and select the hemodialysis codes for hemodialysis. CMS assigns a 0-day global period, including same-day preoperative and postoperative care. Do not use modifier 50 for bilateral billing. Assistant-at-surgery payment requires documented medical necessity; co-surgeons and team surgery are not permitted.

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 90945 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

90945 office and facility rates by payment locality
Payment localityOfficeFacility
AlabamaUnavailable$72.93
AlaskaUnavailable$102.71
ArizonaUnavailable$76.00
ArkansasUnavailable$72.40
Atlanta, GAUnavailable$78.29
Austin, TXUnavailable$78.27
Bakersfield, CAUnavailable$79.19
Baltimore area, MDUnavailable$80.39
Beaumont, TXUnavailable$74.84
Brazoria, TXUnavailable$76.69

90945 rates by state

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

MEWIVTNHMTNDMNMINYMARIWAIDWYSDIAILINOHPANJCTORNVUTCONEMOKYWVVAMDDECAAZNMKSOKARTNNCSCDCTXLAMSALGAFLAKHI

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
90945 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 90945 rate is calculated

Each of 90945’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 · 90945

RVUs × geographic indexes × conversion factor

Office or facility?

Work1.52

1.52 RVUs× 1.000 GPCI

Practice expense0.70

0.70 RVUs× 1.000 GPCI

Malpractice0.09

0.09 RVUs× 1.000 GPCI

Adjusted RVUs

2.3100

Conversion factor

$33.4009

Medicare rate

$77.16

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

Payment rules and modifiers for 90945

The CMS indicators that decide how 90945 is paid alongside other services.

CMS payment indicators · 90945

Dialysis evaluation, other than hemodialysis, single 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.

90945 compared with similar codes

Compare codes · National

4 codes, side by side

Office or facility?

  • 90945

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

    Not priced

  • 90935

    Hemodialysis, one clinician evaluation1.44 wRVU

    Not priced

  • 90937

    Hemodialysis, repeated physician evaluations2.06 wRVU

    Not priced

  • 90947

    Dialysis evaluation, repeated evaluations2.46 wRVU

    Not priced

How to choose

90935HemodialysisOne clinician evaluation
Choose 90935 for hemodialysis with one evaluation. Choose 90945 for one evaluation during a dialysis procedure other than hemodialysis.
90937HemodialysisRepeated physician evaluations
90937 describes repeated evaluations during hemodialysis; 90945 is for one evaluation during dialysis other than hemodialysis.
90947Dialysis evaluationRepeated evaluations
Both concern dialysis other than hemodialysis, but 90945 is for one evaluation and 90947 is for repeated evaluations.

Codes related to 90945

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

Codes related to 90945
CodeHow it relatesNational office range
Same family
90947Dialysis evaluation, repeated evaluationsNon-hemodialysis dialysis code for repeated evaluations during the procedure.No office rate
Used instead
90935Hemodialysis, one clinician evaluationSingle evaluation during hemodialysis rather than another dialysis modality.No office rate
90937Hemodialysis, repeated physician evaluationsRepeated evaluations during hemodialysis rather than another dialysis modality.No office rate

90945 billing questions

How do I choose between 90945 and 90947?

Use 90945 for one evaluation during a dialysis procedure other than hemodialysis. Use 90947 when repeated evaluations are performed during that non-hemodialysis procedure.

How does 90945 differ from 90935?

90945 is for dialysis other than hemodialysis, such as peritoneal dialysis or hemofiltration. 90935 is the single-evaluation code when the treatment is hemodialysis.

What documentation supports reporting 90945?

Document the dialysis modality, the treatment context, and the physician’s or qualified health care professional’s evaluation during the procedure.

Should modifier 50 be appended?

No. This dialysis service is not a bilateral procedure, so modifier 50 is inappropriate.

How does the global period affect same-day care?

The 0-day global period includes same-day preoperative and postoperative care. CMS assistant-at-surgery payment requires documented medical necessity; co-surgeons and team surgery are not permitted.

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 90945PPRRVU2026_Oct_nonQPP.csv, line 11,562 (RVU26D)

Open CMS sourceHow we calculate rates

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