CPT code 90947: Dialysis evaluation, repeated evaluations2026 Medicare rate & RVUs in Georgia
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 doesn’t publish an office rate for 90947 in Georgia.
Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.
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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.
Where 90947 pays more and less in Georgia
| Payment locality | Office | Facility |
|---|---|---|
| Atlanta, GA | Unavailable | $107.90 |
| Rest of Georgia | Unavailable | $105.32 |
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
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.
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
| Rule | CMS value | What it means |
|---|---|---|
| Global period | 000 | Same-day global: pre- and post-op care on the day of the procedure is included. |
| Multiple procedures | 0 | No multiple-procedure reduction. |
| Bilateral (modifier 50) | 0 | The 150% bilateral adjustment doesn’t apply. |
| Assistant at surgery (80/81/82/AS) | 0 | Not paid without supporting documentation. |
| Co-surgeons (62) | 0 | Not permitted. |
| Team surgery (66) | 0 | Not permitted. |
| Professional/technical | 0 | Physician service: no professional/technical split. |
90947 compared with similar codes
Compare codes · National
4 codes, side by side
How to choose
- 90945Dialysis evaluationOther than hemodialysis, single evaluation
- Choose 90945 for a non-hemodialysis dialysis service with one evaluation. Repeated evaluations during that service point to 90947.
- 90937HemodialysisRepeated physician evaluations
- Both represent repeated evaluations, but 90937 applies to hemodialysis; 90947 applies to dialysis procedures other than hemodialysis.
- 90935HemodialysisOne clinician evaluation
- 90935 is for a single evaluation during hemodialysis. It differs from 90947 in both dialysis modality and evaluation pattern.
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
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