CPT code 90947: Dialysis evaluation, repeated evaluations2026 Medicare rate & RVUs in Alabama

In Alabama, Medicare pays $101.45 for 90947 in a facility. There’s no office rate.

Check a contract rate as a % of Medicare · 90947 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 90947 covers

This service covers repeated clinical evaluations during a dialysis procedure that is not hemodialysis. Examples include peritoneal dialysis and continuous renal replacement therapy. A nephrologist or another qualified health care professional may assess the patient’s response, review treatment parameters, and adjust the dialysis prescription in a hospital or other dialysis setting. The repeated evaluations distinguish this service from the corresponding non-hemodialysis service involving a single evaluation.

Report 90947 for the dialysis service when documentation supports multiple evaluations during treatment; it is not a separate charge for each check. Record the dialysis modality, the evaluations performed, the patient’s response, and any prescription changes. CMS assigns a 0-day global period, so same-day preoperative and postoperative care is included. Modifier 50 is inappropriate for this service. 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 Alabama compares for 90947

Across 109 of 109 payment localities, the facility rate for 90947 runs from $100.87 in Arkansas to $145.94 in Alaska. Alabama pays $101.45. The RVUs are the same everywhere; the geographic indexes change the dollars.

Every other payment area

90947 rates by state

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

See 90947 in every payment locality

How the 90947 rate is calculated

Each of 90947’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 90947

The CMS indicators that decide how 90947 is paid alongside other services.

Codes related to 90947

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

How 90947 has changed in Alabama

Price 90947 for an earlier date of service

Where the Alabama rate applies

Alabama is a Medicare payment area, not a city. Our Census mapping connects it to 595 cities and communities in Alabama. Some span more than one payment area; confirm with the service ZIP.

• Abanda
• Abbeville
• Adamsville
• Addison
• Akron
• Alabaster
• Albertville
• Alexander City

Browse all communities in Alabama

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