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

In Vermont, Medicare pays $210.59 for 90962 in the office and $210.59 when it’s performed in a hospital or facility.

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.

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 Vermont 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. Vermont pays $210.59. The RVUs are the same everywhere; the geographic indexes change the dollars.

Every other payment area

90962 rates by state

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

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.

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.

Codes related to 90962

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

How 90962 has changed in Vermont

Price 90962 for an earlier date of service

Where the Vermont rate applies

Vermont is a Medicare payment area, not a city. Our Census mapping connects it to 180 cities and communities in Vermont. Some span more than one payment area; confirm with the service ZIP.

• Albany
• Alburgh
• Algiers
• Arlington
• Ascutney
• Bakersfield
• Barnet
• Barre

Browse all communities in Vermont

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