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CPT code 90962: ESRD monthly care, one visit, age 20+2026 Medicare rate & RVUs in Brazoria, TX

Monthly ESRD-related management for a patient age 20 or older receiving facility-based dialysis when the physician or qualified professional makes one visit that month.

CMS RVU26DEffective Oct 1, 2026One payment locality125.9K Medicare services in 2024

In Brazoria, TX, Medicare pays $213.64 for 90962 in the office and $213.64 when it’s performed in a hospital or facility.

$213.64Office (non-facility)
$213.64Hospital or facility
−0.7%vs the national office rate ($215.10)

Check a contract rate as a % of Medicare · 90962 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 90962 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in Brazoria, TX
  2. What 90962 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 90962 covers

This code represents monthly management of end-stage renal disease for an adult receiving dialysis outside the home-dialysis monthly service series. A nephrologist or other qualified health care professional typically evaluates the patient and manages ESRD-related concerns such as dialysis adequacy, vascular access, fluid status, anemia, medication needs, and complications. Care may involve coordination with the dialysis facility and the patient’s broader treatment team.

Report one unit for the calendar month when the patient is age 20 or older and the service meets the one-visit level. Select the monthly code using the patient’s age, dialysis setting or modality, and number of qualifying visits during the month; this code is distinct from levels for two or three visits and four or more visits. Documentation should support the visit and the monthly ESRD management provided. It represents monthly care, not a separate charge for each dialysis session.

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 Brazoria, TX compares for 90962

Across 109 of 109 payment localities, the office rate for 90962 runs from $199.06 in Arkansas to $277.18 in Alaska. Brazoria, TX pays $213.64. The RVUs are the same everywhere; the geographic indexes change the dollars.

90962 in Brazoria, TX vs other payment areas
  1. Brazoria, TX · this page$213.64
  2. Austin, TX · Texas$219.64+$6.00
  3. Beaumont, TX · Texas$206.61−$7.03
  4. Dallas, TX · Texas$214.78+$1.14
  5. Fort Worth, TX · Texas$213.99+$0.35
  6. Galveston, TX · Texas$214.17+$0.53
  7. Houston, TX · Texas$218.20+$4.56

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

Every other payment area

90962 in every other Medicare payment locality
Payment localityOfficeFacility
Rest of TexasTexas$209.87$209.87
Los Angeles, CACalifornia$233.72$233.72
Washington, DC areaDistrict of Columbia$238.13$238.13
Miami, FLFlorida$229.97$229.97
Chicago, ILIllinois$225.89$225.89
Manhattan, NYNew York$241.38$241.38
AlaskaAlaska$277.18$277.18
AlabamaAlabama$200.85$200.85

90962 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.

$199.06

$277.18

Color shows the midpoint of each state’s locality range.

View every state and territory as a table
90962 office rate range by state
State / territoryOffice rate rangeLocalities
AK$277.181
AL$200.851
AR$199.061
AZ$211.301
CA$222.22–$263.9329
CO$220.591
CT$225.851
DC$238.131
DE$213.891
FL$214.90–$229.973
GA$206.95–$218.352
GU$224.131
HI$224.131
IA$203.151
ID$204.151
IL$211.54–$225.894
IN$204.861
KS$202.961
KY$204.651
LA$204.61–$210.882
MA$220.21–$236.352
MD$216.75–$238.133
ME$205.24–$211.592
MI$208.35–$217.042
MN$212.501
MO$202.70–$210.873
MS$200.881
MT$215.091
NC$206.521
ND$210.741
NE$203.721
NH$217.811
NJ$228.73–$237.282
NM$209.231
NV$213.961
NY$208.49–$245.765
OH$207.461
OK$203.991
OR$212.57–$224.952
PA$207.44–$222.302
PR$215.971
RI$219.491
SC$207.271
SD$210.221
TN$203.641
TX$206.61–$219.648
UT$209.041
VA$211.44–$238.132
VI$215.971
VT$210.591
WA$219.59–$239.812
WI$206.301
WV$206.671
WY$213.191

See 90962 in every payment locality

How the 90962 rate is calculated

Each of 90962’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 · 90962

RVUs × geographic indexes × conversion factor

Office or facility?

Work3.57

3.57 RVUs× 1.000 GPCI

Practice expense2.65

2.65 RVUs× 1.000 GPCI

Malpractice0.22

0.22 RVUs× 1.000 GPCI

Adjusted RVUs

6.4400

Conversion factor

$33.4009

Medicare rate

$215.10

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

The exact Brazoria, TX inputs and CMS source lines

PPRRVU2026_Oct_nonQPP.csv

11,575

Code
90962
Physician work
3.57
Practice expense
2.65
Malpractice
0.22

GPCI2026.csv

98

Locality
Brazoria, TX
Physician work
1.008
Practice expense
0.991
Malpractice
0.780
Office calculation for 90962 in Brazoria, TX
ComponentRVULocality factorAdjusted
Physician work3.57× 1.0083.5986
Practice expense2.65× 0.9912.6261
Malpractice0.22× 0.7800.1716
Total RVUs6.3963
Conversion factor× 33.4009

Office rate, Brazoria, TX$213.64

Office: (3.57 × 1.008 + 2.65 × 0.991 + 0.22 × 0.78) × $33.4009 = $213.64

Facility: (3.57 × 1.008 + 2.65 × 0.991 + 0.22 × 0.78) × $33.4009 = $213.64

Open 90962 in the RVU calculator

Payment rules and modifiers for 90962

90962 has no global surgery period, no multiple-procedure, bilateral or assistant-at-surgery adjustment, and no professional/technical split. What changes the payment is where the service happens: the place of service on the claim decides whether Medicare pays the office or the facility rate.

Place of service · 90962

Which rate does Medicare pay?

The POS code on the claim line (CMS-1500 box 24B).

POS 11 · non-facility rate · national

$215.10

Non-facility (office)
$215.10
Facility
$215.10

Higher because the practice carries its own overhead.

Codes related to 90962

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

Codes related to 90962
CodeHow it relatesOffice range, Brazoria, TX
Same family
90960Monthly ESRD services, age 20+, four or more visitsMonthly ESRD care for patients age 20 or older with four or more visits.$370.21
90961ESRD management, 2-3 visits, age 20+Monthly ESRD care for patients age 20 or older with two or three visits.$308.43
Used instead
90966Home dialysis, monthly, age 20 and olderMonthly ESRD care for a patient age 20 or older receiving home dialysis.$308.10
90970ESRD services, per day, age 20 or olderPer-day ESRD services for a patient age 20 or older when care covers part of a month.$9.96

How 90962 has changed in Brazoria, TX

90962 · Office / nonfacility

$213.64

Effective 2026-10-01

The base rate is $16.30 higher than on 2025-10-01, moving from $197.34 to $213.64 (8.3%).

It is unchanged from the immediately preceding available release, effective 2026-07-01.

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

  1. January 1, 2026

    RVU26A

    $197.34changed to$213.64

    • Conversion factor 32.3465 changed to 33.4009
    • Practice expense RVU 2.30 changed to 2.65
    • Malpractice RVU 0.21 changed to 0.22
    • Work GPCI 1.014 changed to 1.008
    • Practice expense GPCI 1.006 changed to 0.991
    • Malpractice GPCI 0.795 changed to 0.780

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    $201.00changed to$197.34

    • Conversion factor 33.2875 changed to 32.3465
    • Practice expense RVU 2.23 changed to 2.30
    • Malpractice RVU 0.22 changed to 0.21

    Held through RVU25B, RVU25C, RVU25D.

  3. March 9, 2024

    RVU24AR

    $197.72changed to$201.00

    • Conversion factor 32.7442 changed to 33.2875

    Held through RVU24B, RVU24C, RVU24D.

  4. January 1, 2024

    RVU24A

    $203.34changed to$197.72

    • Conversion factor 33.8872 changed to 32.7442
    • Practice expense RVU 2.17 changed to 2.23
    • Work GPCI 1.023 changed to 1.014
    • Practice expense GPCI 1.014 changed to 1.006
    • Malpractice GPCI 0.673 changed to 0.795

  5. January 1, 2023

    RVU23A

    $208.15changed to$203.34

    • Conversion factor 34.6062 changed to 33.8872
    • Practice expense RVU 2.16 changed to 2.17
    • Work GPCI 1.032 changed to 1.023
    • Practice expense GPCI 1.023 changed to 1.014
    • Malpractice GPCI 0.550 changed to 0.673

    Held through RVU23B, RVU23C, RVU23D.

  6. January 1, 2022

    RVU22A

    $207.90changed to$208.15

    • Conversion factor 34.8931 changed to 34.6062
    • Practice expense RVU 2.11 changed to 2.16
    • Malpractice RVU 0.21 changed to 0.22

    Held through RVU22B, RVU22C, RVU22D.

  7. January 1, 2021

    RVU21A

    $190.30changed to$207.90

    • Conversion factor 36.0896 changed to 34.8931
    • Work RVU 3.15 changed to 3.57
    • Practice expense RVU 1.89 changed to 2.11
    • Malpractice RVU 0.19 changed to 0.21
    • Work GPCI 1.026 changed to 1.032
    • Practice expense GPCI 1.010 changed to 1.023
    • Malpractice GPCI 0.695 changed to 0.550

    Held through RVU21B, RVU21C, RVU21D.

  8. January 1, 2020

    RVU20A

    $188.79changed to$190.30

    • Conversion factor 36.0391 changed to 36.0896
    • Practice expense RVU 1.88 changed to 1.89
    • Malpractice RVU 0.18 changed to 0.19
    • Work GPCI 1.020 changed to 1.026
    • Practice expense GPCI 0.997 changed to 1.010
    • Malpractice GPCI 0.839 changed to 0.695

    Held through RVU20B, RVU20C, RVU20D.

  9. January 1, 2019

    RVU19A

    $188.58changed to$188.79

    • Conversion factor 35.9996 changed to 36.0391

    Held through RVU19B, RVU19C, RVU19D.

  10. January 1, 2018

    RVU18AR1

    $187.10changed to$188.58

    • Conversion factor 35.8887 changed to 35.9996
    • Practice expense RVU 1.85 changed to 1.88
    • Practice expense GPCI 0.994 changed to 0.997
    • Malpractice GPCI 0.897 changed to 0.839

    Held through RVU18B, RVU18C, RVU18D.

  11. January 1, 2017

    RVU17A

    $187.37changed to$187.10

    • Conversion factor 35.8043 changed to 35.8887
    • Practice expense RVU 1.87 changed to 1.85
    • Work GPCI 1.019 changed to 1.020
    • Practice expense GPCI 0.990 changed to 0.994
    • Malpractice GPCI 0.955 changed to 0.897

    Held through RVU17B, RVU17C, RVU17D.

  12. January 1, 2016

    RVU16A

    $187.69changed to$187.37

    • Conversion factor 35.9335 changed to 35.8043
    • Practice expense RVU 1.86 changed to 1.87

    Held through RVU16B, RVU16C, RVU16D.

  13. July 1, 2015

    RVU15C

    $186.75changed to$187.69

    • Conversion factor 35.7547 changed to 35.9335

    Held through RVU15D.

  14. January 1, 2015

    RVU15A

    $186.71changed to$186.75

    • Conversion factor 35.8228 changed to 35.7547
    • Malpractice RVU 0.19 changed to 0.18
    • Work GPCI 1.014 changed to 1.019
    • Practice expense GPCI 0.989 changed to 0.990
    • Malpractice GPCI 0.939 changed to 0.955

    Held through RVU15B.

  15. January 1, 2014

    RVU14A

    $183.59changed to$186.71

    • Conversion factor 34.0230 changed to 35.8228
    • Practice expense RVU 2.06 changed to 1.86
    • Malpractice RVU 0.20 changed to 0.19
    • Work GPCI 1.009 changed to 1.014
    • Practice expense GPCI 0.987 changed to 0.989
    • Malpractice GPCI 0.923 changed to 0.939

    Held through RVU14B, RVU14C, RVU14D.

  16. January 1, 2013

    RVU13AR

    Earliest loaded release: $183.59

    Held through RVU13B, RVU13C, RVU13D.

Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01$213.64$213.64RVU26D
2026-07-01$213.64$213.64RVU26C
2026-04-01$213.64$213.64RVU26B
2026-01-01$213.64$213.64RVU26A
2025-10-01$197.34$197.34RVU25D
2025-07-01$197.34$197.34RVU25C
2025-04-01$197.34$197.34RVU25B
2025-01-01$197.34$197.34RVU25A
2024-10-01$201.00$201.00RVU24D
2024-07-01$201.00$201.00RVU24C
2024-04-01$201.00$201.00RVU24B
2024-03-09$201.00$201.00RVU24AR
2024-01-01$197.72$197.72RVU24A
2023-10-01$203.34$203.34RVU23D
2023-07-01$203.34$203.34RVU23C
2023-04-01$203.34$203.34RVU23B
2023-01-01$203.34$203.34RVU23A
2022-10-01$208.15$208.15RVU22D
2022-07-01$208.15$208.15RVU22C
2022-04-01$208.15$208.15RVU22B
2022-01-01$208.15$208.15RVU22A
2021-10-01$207.90$207.90RVU21D
2021-07-01$207.90$207.90RVU21C
2021-04-01$207.90$207.90RVU21B
2021-01-01$207.90$207.90RVU21A
2020-10-01$190.30$190.30RVU20D
2020-07-01$190.30$190.30RVU20C
2020-04-01$190.30$190.30RVU20B
2020-01-01$190.30$190.30RVU20A
2019-10-01$188.79$188.79RVU19D
2019-07-01$188.79$188.79RVU19C
2019-04-01$188.79$188.79RVU19B
2019-01-01$188.79$188.79RVU19A
2018-10-01$188.58$188.58RVU18D
2018-07-01$188.58$188.58RVU18C
2018-04-01$188.58$188.58RVU18B
2018-01-01$188.58$188.58RVU18AR1
2017-10-01$187.10$187.10RVU17D
2017-07-01$187.10$187.10RVU17C
2017-04-01$187.10$187.10RVU17B
2017-01-01$187.10$187.10RVU17A
2016-10-01$187.37$187.37RVU16D
2016-07-01$187.37$187.37RVU16C
2016-04-01$187.37$187.37RVU16B
2016-01-01$187.37$187.37RVU16A
2015-10-01$187.69$187.69RVU15D
2015-07-01$187.69$187.69RVU15C
2015-04-01$186.75$186.75RVU15B
2015-01-01$186.75$186.75RVU15A
2014-10-01$186.71$186.71RVU14D
2014-07-01$186.71$186.71RVU14C
2014-04-01$186.71$186.71RVU14B
2014-01-01$186.71$186.71RVU14A
2013-10-01$183.59$183.59RVU13D
2013-07-01$183.59$183.59RVU13C
2013-04-01$183.59$183.59RVU13B
2013-01-01$183.59$183.59RVU13AR

Price 90962 for an earlier date of service

Where the Brazoria, TX rate applies

Brazoria, TX is a Medicare payment area, not a city. Our Census mapping connects it to 28 cities and communities in Texas. Some span more than one payment area; confirm with the service ZIP.

  • Brazoria
  • Alvin
  • Angleton
  • Bailey's Prairie
  • Bonney
  • Brookside Village
  • Clute
  • Damon

Browse all communities in Texas

90962 billing questions

When is 90962 selected instead of 90961 or 90960?

Use 90962 for an eligible patient age 20 or older when there is one qualifying visit in the month. The other codes in this group correspond to two or three visits, or four or more visits.

Does 90962 represent each dialysis treatment?

No. It represents the monthly ESRD-related management level, not a per-session service. Do not count each dialysis treatment as a separate unit of 90962.

Can 90962 be used for a patient receiving home dialysis?

The home-dialysis monthly series has separate codes, including 90966 for patients age 20 or older. Choose the code that matches the patient’s dialysis setting and monthly circumstances.

What documentation supports the one-visit level?

Document the date and substance of the qualifying visit, the patient’s ESRD-related assessment and management, and the care coordination performed. The record should also support the patient’s age and dialysis circumstances.

What if monthly ESRD care covers only part of the month?

The per-day ESRD service series may be relevant when care is provided for only part of a month. For a patient age 20 or older, compare the circumstances with 90970.

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 90962PPRRVU2026_Oct_nonQPP.csv, line 11,575 (RVU26D)
Geographic factors for Brazoria, TXGPCI2026.csv, line 98 (RVU26D)

Open CMS sourceHow we calculate rates

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