CPT code 90966: Home dialysis, monthly, age 20 and older2026 Medicare rate & RVUs in South Dakota

In South Dakota, Medicare pays $302.31 for 90966 in the office and $302.31 when it’s performed in a hospital or facility.

Check a contract rate as a % of Medicare · 90966 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 90966 covers

This code represents a month of ESRD-related management for an adult receiving dialysis at home, such as home hemodialysis or peritoneal dialysis. A nephrologist or other qualified clinician manages the patient’s dialysis care, assessing clinical status and addressing the treatment plan, relevant results, and related care needs. Services may be furnished through an outpatient nephrology practice while the patient performs dialysis at home.

Select the code based on the patient’s age and home dialysis setting, not on the number of monthly visits. Documentation should identify the home modality and support the ESRD-related assessment and management furnished during the month. For a patient age 20 or older whose ESRD services cover only part of a month, consider the age-matched per-day code rather than reporting this monthly service as a visit-count level.

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 South Dakota compares for 90966

Across 109 of 109 payment localities, the office rate for 90966 runs from $288.40 in Arkansas to $404.49 in Alaska. South Dakota pays $302.31. The RVUs are the same everywhere; the geographic indexes change the dollars.

Every other payment area

90966 rates by state

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

See 90966 in every payment locality

How the 90966 rate is calculated

Each of 90966’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 90966

90966 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 90966

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

How 90966 has changed in South Dakota

Price 90966 for an earlier date of service

Where the South Dakota rate applies

South Dakota is a Medicare payment area, not a city. Our Census mapping connects it to 485 cities and communities in South Dakota. Some span more than one payment area; confirm with the service ZIP.

• Aberdeen
• Agar
• Agency Village
• Akaska
• Albee
• Alcester
• Alexandria
• Allen

Browse all communities in South Dakota

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