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

In Wisconsin, Medicare pays $74.09 for 90945 in a facility. There’s no office rate.

Check a contract rate as a % of Medicare · 90945 nationwide

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

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.

How Wisconsin compares for 90945

Across 109 of 109 payment localities, the facility rate for 90945 runs from $72.40 in Arkansas to $102.71 in Alaska. Wisconsin pays $74.09. The RVUs are the same everywhere; the geographic indexes change the dollars.

Every other payment area

90945 rates by state

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

See 90945 in every payment locality

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.

Payment rules and modifiers for 90945

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

Codes related to 90945

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

How 90945 has changed in Wisconsin

Price 90945 for an earlier date of service

Where the Wisconsin rate applies

Wisconsin is a Medicare payment area, not a city. Our Census mapping connects it to 807 cities and communities in Wisconsin. Some span more than one payment area; confirm with the service ZIP.

• Abbotsford
• Abrams
• Adams
• Adell
• Albany
• Algoma
• Allens Grove
• Allenton

Browse all communities in Wisconsin

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

Open CMS sourceHow we calculate rates