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

Report this service when a physician or qualified health care professional repeatedly evaluates a patient during dialysis other than hemodialysis, such as peritoneal dialysis or continuous renal replacement therapy.

CMS RVU26DEffective Oct 1, 2026One payment locality8.8K Medicare services in 2024

In Chico, CA, Medicare pays $106.74 for 90947 in a facility. There’s no office rate.

Not available in this settingOffice (non-facility)
$106.74Hospital or facility

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.

We’ll open 90947 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in Chico, CA
  2. What 90947 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 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 Chico, CA 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. Chico, CA pays $106.74. The RVUs are the same everywhere; the geographic indexes change the dollars.

90947 in Chico, CA vs other payment areas
  1. Chico, CA · this page$106.74
  2. Bakersfield, CA · California$107.32+$0.58
  3. El Centro, CA · California$106.77+$0.03
  4. Fresno, CA · California$106.74
  5. Hanford, CA · California$106.74
  6. Los Angeles, CA · California$111.04+$4.30
  7. Madera, CA · California$106.74

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

Every other payment area

90947 in every other Medicare payment locality
Payment localityOfficeFacility
Merced, CACalifornia—$106.74
Modesto, CACalifornia—$106.74
Napa, CACalifornia—$114.44
Oxnard, CACalifornia—$109.72
Redding, CACalifornia—$106.74
Rest of CaliforniaCalifornia—$106.74
Riverside, CACalifornia—$108.62
Sacramento, CACalifornia—$109.53

90947 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
90947 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 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.

How the rate is built · 90947

RVUs × geographic indexes × conversion factor

Office or facility?

Work2.46

2.46 RVUs× 1.000 GPCI

Practice expense0.55

0.55 RVUs× 1.000 GPCI

Malpractice0.17

0.17 RVUs× 1.000 GPCI

Adjusted RVUs

3.1800

Conversion factor

$33.4009

Medicare rate

$106.21

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

The exact Chico, CA inputs and CMS source lines

PPRRVU2026_Oct_nonQPP.csv

11,563

Code
90947
Physician work
2.46
Practice expense
0.55
Malpractice
0.17

GPCI2026.csv

9

Locality
Chico, CA
Physician work
1.017
Practice expense
1.096
Malpractice
0.536
Facility calculation for 90947 in Chico, CA
ComponentRVULocality factorAdjusted
Physician work2.46× 1.0172.5018
Practice expense0.55× 1.0960.6028
Malpractice0.17× 0.5360.0911
Total RVUs3.1957
Conversion factor× 33.4009

Facility rate, Chico, CA$106.74

Facility: (2.46 × 1.017 + 0.55 × 1.096 + 0.17 × 0.536) × $33.4009 = $106.74

Open 90947 in the RVU calculator

Payment rules and modifiers for 90947

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

CMS payment indicators · 90947

Dialysis evaluation, repeated evaluations

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 90947 has changed in Chico, CA

90947 · 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$106.74RVU26D
2026-07-01Not available in this setting$106.74RVU26C
2026-04-01Not available in this setting$106.74RVU26B
2026-01-01Not available in this setting$106.74RVU26A
2025-10-01Not available in this setting$118.97RVU25D
2025-07-01Not available in this setting$118.97RVU25C
2025-04-01Not available in this setting$118.97RVU25B
2025-01-01Not available in this setting$118.97RVU25A
2024-10-01Not available in this setting$121.89RVU24D
2024-07-01Not available in this setting$121.89RVU24C
2024-04-01Not available in this setting$121.89RVU24B
2024-03-09Not available in this setting$121.89RVU24AR
2024-01-01Not available in this setting$119.90RVU24A
2023-10-01Not available in this setting$123.99RVU23D
2023-07-01Not available in this setting$123.99RVU23C
2023-04-01Not available in this setting$123.99RVU23B
2023-01-01Not available in this setting$123.99RVU23A
2022-10-01Not available in this setting$127.56RVU22D
2022-07-01Not available in this setting$127.56RVU22C
2022-04-01Not available in this setting$127.56RVU22B
2022-01-01Not available in this setting$127.56RVU22A
2021-10-01Not available in this setting$127.25RVU21D
2021-07-01Not available in this setting$127.25RVU21C
2021-04-01Not available in this setting$127.25RVU21B
2021-01-01Not available in this setting$127.25RVU21A
2020-10-01Not available in this setting$129.86RVU20D
2020-07-01Not available in this setting$129.86RVU20C
2020-04-01Not available in this setting$129.86RVU20B
2020-01-01Not available in this setting$129.86RVU20A
2019-10-01Not available in this setting$128.19RVU19D
2019-07-01Not available in this setting$128.19RVU19C
2019-04-01Not available in this setting$128.19RVU19B
2019-01-01Not available in this setting$128.19RVU19A
2018-10-01Not available in this setting$127.66RVU18D
2018-07-01Not available in this setting$127.66RVU18C
2018-04-01Not available in this setting$127.66RVU18B
2018-01-01Not available in this setting$127.66RVU18AR1
2017-10-01Not available in this setting$128.03RVU17D
2017-07-01Not available in this setting$128.03RVU17C
2017-04-01Not available in this setting$128.03RVU17B
2017-01-01Not available in this setting$128.03RVU17A
2016-10-01Not available in this settingRate data unavailableRVU16D
2016-07-01Not available in this settingRate data unavailableRVU16C
2016-04-01Not available in this settingRate data unavailableRVU16B
2016-01-01Not available in this settingRate data unavailableRVU16A
2015-10-01Not available in this settingRate data unavailableRVU15D
2015-07-01Not available in this settingRate data unavailableRVU15C
2015-04-01Not available in this settingRate data unavailableRVU15B
2015-01-01Not available in this settingRate data unavailableRVU15A
2014-10-01Not available in this settingRate data unavailableRVU14D
2014-07-01Not available in this settingRate data unavailableRVU14C
2014-04-01Not available in this settingRate data unavailableRVU14B
2014-01-01Not available in this settingRate data unavailableRVU14A
2013-10-01Not available in this settingRate data unavailableRVU13D
2013-07-01Not available in this settingRate data unavailableRVU13C
2013-04-01Not available in this settingRate data unavailableRVU13B
2013-01-01Not available in this settingRate data unavailableRVU13AR

Price 90947 for an earlier date of service

Where the Chico, CA rate applies

Chico, CA is a Medicare payment area, not a city. Our Census mapping connects it to 30 cities and communities in California. Some span more than one payment area; confirm with the service ZIP.

  • Chico
  • Bangor
  • Berry Creek
  • Biggs
  • Butte Creek Canyon
  • Butte Meadows
  • Butte Valley
  • Cherokee

Browse all communities in California

90947 billing questions

How does 90947 differ from 90945?

Both describe dialysis other than hemodialysis. Use 90947 when the service includes repeated evaluations; 90945 represents a single evaluation.

Can each evaluation be billed as a separate unit?

No. Repeated evaluations are part of the service represented by 90947, not separate units for each assessment.

How does 90947 differ from 90937?

Both involve repeated evaluations, but 90947 is for dialysis other than hemodialysis, while 90937 is for hemodialysis.

What documentation supports reporting 90947?

Document the dialysis modality, repeated evaluations during the treatment, findings about the patient’s response, and any resulting changes to the dialysis prescription.

Should modifier 50 be appended?

No. CMS identifies bilateral adjustment as inappropriate for 90947; the service is not reported for paired body sides.

Can an assistant, co-surgeon, or surgical team be paid?

Assistant-at-surgery payment requires documented medical necessity. CMS does not permit co-surgeons or team surgery for this code.

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 90947PPRRVU2026_Oct_nonQPP.csv, line 11,563 (RVU26D)
Geographic factors for Chico, CAGPCI2026.csv, line 9 (RVU26D)

Open CMS sourceHow we calculate rates

Did this answer your question about what 90947 pays in Chico, CA?

Tell us what you were actually trying to work out. We’ll answer you directly, or build the page that does.

Fee sheets · Coming soon

Put 90947 and the rest of your codes on one sheet

Your codes at your locality, with payer contracts beside Medicare.

Join the waitlist