Use 90964 for home-dialysis patients ages 2 through 11; 90965 is for ages 12 through 19.
On this page
CMS RVU26D · Effective 2026-10-01
90965 in Redding
Office / nonfacility
$528.50
Base rate per service
Facility setting
$528.50
Base rate per service
Amounts below use the non-QP conversion factor for participating physicians. These are base physician payments before claim-level adjustments, not patient costs or total hospital charges.
ESRD services
About 90965: Home dialysis ESRD services, adolescent
Monthly ESRD-related physician services for a home dialysis patient ages 12 through 19, covering ongoing clinical management rather than individual dialysis sessions.
This code represents a month of ESRD-related physician or qualified health care professional services for a patient ages 12 through 19 who receives dialysis at home. Care may include managing the dialysis prescription, reviewing treatment adequacy and relevant laboratory results, assessing fluid status and complications, and coordinating the patient’s renal care. The service is reported for the patient’s monthly home-dialysis management, not for each dialysis treatment or each contact during the month.
Select this code when the patient’s age and home-dialysis status match the code’s criteria and the practitioner provides the corresponding monthly ESRD-related services. Documentation should support the patient’s age, home treatment status, and clinical management during the month. Report the age-specific sibling for a different age group; when services cover only part of a month, use the applicable per-day code rather than this monthly code.
Where the value comes from
- Work RVU9.80 · 63%
- Practice expense (office) RVU5.05 · 33%
- Malpractice RVU0.60 · 4%
716
Medicare services in 2024 · #3239 by national volume
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.
90965 compared with similar codes
Office rates for Redding, from the same CMS release.
Use 90966 for home-dialysis patients age 20 or older; 90965 is for ages 12 through 19.
90969 reports per-day services for a partial month for a patient ages 12 through 19. Use 90965 for monthly services when the patient’s care covers the month.
90957 belongs to the age 12-through-19 monthly ESRD visit-count series, not the home-dialysis series represented by 90965.
The same code, a different location
How does Redding compare?
In Bakersfield, the office rate for 90965 is $530.62—$2.12 higher than the $528.50 rate in Redding. Both use the same code, release and participation basis.
90965 across payment areas
Same release and payment basis · bars start at $0
Redding · This locality
$528.50
$530.62
$2.12 higher than Redding
$528.50
The same base rate than Redding
$528.60
$0.10 higher than Redding
$528.50
The same base rate than Redding
$528.50
The same base rate than Redding
$25.10 higher than Redding
Other payment areas listed in California appear first, followed by selected cross-country examples. The chart compares amounts, not distance.
Across 109 of 109 CMS payment localities with a supported office rate, 90965 ranges from $482.54 in Arkansas to $681.67 in Alaska*. This is a geographic range, not an average.
The code’s RVUs stay the same in these comparisons. Geographic adjustments to work, practice expense and malpractice change the dollar amount. A city name alone may not identify the payment area for a service address.
Compare all 108 other payment areas
Madera
California · 90965
Office
$528.50
Facility
$528.50
The same base rate than Redding for the office setting.
Merced
California · 90965
Office
$528.50
Facility
$528.50
The same base rate than Redding for the office setting.
Modesto
California · 90965
Office
$528.50
Facility
$528.50
The same base rate than Redding for the office setting.
Napa
California · 90965
Office
$580.44
Facility
$580.44
$51.94 higher than Redding for the office setting.
Oxnard-Thousand Oaks-Ventura
California · 90965
Office
$548.35
Facility
$548.35
$19.85 higher than Redding for the office setting.
Rest Of California
California · 90965
Office
$528.50
Facility
$528.50
The same base rate than Redding for the office setting.
Riverside-San Bernardino-Ontario
California · 90965
Office
$535.18
Facility
$535.18
$6.68 higher than Redding for the office setting.
Sacramento-Roseville-Folsom
California · 90965
Office
$546.02
Facility
$546.02
$17.52 higher than Redding for the office setting.
Salinas
California · 90965
Office
$543.71
Facility
$543.71
$15.21 higher than Redding for the office setting.
San Diego-Chula Vista-Carlsbad
California · 90965
Office
$549.75
Facility
$549.75
$21.25 higher than Redding for the office setting.
San Francisco-Oakland-Berkeley (Marin Cnty)
California · 90965
Office
$605.45
Facility
$605.45
$76.95 higher than Redding for the office setting.
San Francisco-Oakland-Berkeley (San Francisco/San Mateo/Alameda/Contra Costa Cnty)
California · 90965
Office
$604.77
Facility
$604.77
$76.27 higher than Redding for the office setting.
San Jose-Sunnyvale-Santa Clara (San Benito Cnty)
California · 90965
Office
$617.31
Facility
$617.31
$88.81 higher than Redding for the office setting.
San Jose-Sunnyvale-Santa Clara (Santa Clara Cnty)
California · 90965
Office
$614.52
Facility
$614.52
$86.02 higher than Redding for the office setting.
San Luis Obispo-Paso Robles
California · 90965
Office
$535.76
Facility
$535.76
$7.26 higher than Redding for the office setting.
Santa Cruz-Watsonville
California · 90965
Office
$549.88
Facility
$549.88
$21.38 higher than Redding for the office setting.
Santa Maria-Santa Barbara
California · 90965
Office
$543.91
Facility
$543.91
$15.41 higher than Redding for the office setting.
Santa Rosa-Petaluma
California · 90965
Office
$555.02
Facility
$555.02
$26.52 higher than Redding for the office setting.
Stockton
California · 90965
Office
$528.50
Facility
$528.50
The same base rate than Redding for the office setting.
Vallejo
California · 90965
Office
$579.46
Facility
$579.46
$50.96 higher than Redding for the office setting.
Visalia
California · 90965
Office
$528.50
Facility
$528.50
The same base rate than Redding for the office setting.
Yuba City
California · 90965
Office
$528.50
Facility
$528.50
The same base rate than Redding for the office setting.
Dc + Md/Va Suburbs
District of Columbia · 90965
Office
$566.01
Facility
$566.01
$37.51 higher than Redding for the office setting.
Miami
Florida · 90965
Office
$553.60
Facility
$553.60
$25.10 higher than Redding for the office setting.
Chicago
Illinois · 90965
Office
$545.13
Facility
$545.13
$16.63 higher than Redding for the office setting.
Manhattan
New York · 90965
Office
$576.06
Facility
$576.06
$47.56 higher than Redding for the office setting.
Alaska*
Alaska · 90965
Office
$681.67
Facility
$681.67
$153.17 higher than Redding for the office setting.
Alabama
Alabama · 90965
Office
$486.26
Facility
$486.26
$42.24 lower than Redding for the office setting.
Arkansas
Arkansas · 90965
Office
$482.54
Facility
$482.54
$45.96 lower than Redding for the office setting.
Arizona
Arizona · 90965
Office
$507.93
Facility
$507.93
$20.57 lower than Redding for the office setting.
Colorado
Colorado · 90965
Office
$526.38
Facility
$526.38
$2.12 lower than Redding for the office setting.
Connecticut
Connecticut · 90965
Office
$539.79
Facility
$539.79
$11.29 higher than Redding for the office setting.
Delaware
Delaware · 90965
Office
$513.63
Facility
$513.63
$14.87 lower than Redding for the office setting.
Fort Lauderdale
Florida · 90965
Office
$534.43
Facility
$534.43
$5.93 higher than Redding for the office setting.
Rest Of Florida
Florida · 90965
Office
$518.70
Facility
$518.70
$9.80 lower than Redding for the office setting.
Atlanta
Georgia · 90965
Office
$523.75
Facility
$523.75
$4.75 lower than Redding for the office setting.
Rest Of Georgia
Georgia · 90965
Office
$501.67
Facility
$501.67
$26.83 lower than Redding for the office setting.
Hawaii, Guam
Hawaii · 90965
Office
$530.72
Facility
$530.72
$2.22 higher than Redding for the office setting.
Iowa
Iowa · 90965
Office
$489.62
Facility
$489.62
$38.88 lower than Redding for the office setting.
Idaho
Idaho · 90965
Office
$491.99
Facility
$491.99
$36.51 lower than Redding for the office setting.
East St. Louis
Illinois · 90965
Office
$522.87
Facility
$522.87
$5.63 lower than Redding for the office setting.
Rest Of Illinois
Illinois · 90965
Office
$512.65
Facility
$512.65
$15.85 lower than Redding for the office setting.
Suburban Chicago
Illinois · 90965
Office
$538.36
Facility
$538.36
$9.86 higher than Redding for the office setting.
Indiana
Indiana · 90965
Office
$493.43
Facility
$493.43
$35.07 lower than Redding for the office setting.
Kansas
Kansas · 90965
Office
$489.91
Facility
$489.91
$38.59 lower than Redding for the office setting.
Kentucky
Kentucky · 90965
Office
$495.62
Facility
$495.62
$32.88 lower than Redding for the office setting.
New Orleans
Louisiana · 90965
Office
$508.82
Facility
$508.82
$19.68 lower than Redding for the office setting.
Rest Of Louisiana
Louisiana · 90965
Office
$495.80
Facility
$495.80
$32.70 lower than Redding for the office setting.
Metropolitan Boston
Massachusetts · 90965
Office
$559.98
Facility
$559.98
$31.48 higher than Redding for the office setting.
Rest Of Massachusetts
Massachusetts · 90965
Office
$526.15
Facility
$526.15
$2.35 lower than Redding for the office setting.
Baltimore/Surr. Cntys
Maryland · 90965
Office
$538.34
Facility
$538.34
$9.84 higher than Redding for the office setting.
Rest Of Maryland
Maryland · 90965
Office
$519.70
Facility
$519.70
$8.80 lower than Redding for the office setting.
Rest Of Maine
Maine · 90965
Office
$494.97
Facility
$494.97
$33.53 lower than Redding for the office setting.
Southern Maine
Maine · 90965
Office
$507.13
Facility
$507.13
$21.37 lower than Redding for the office setting.
Detroit
Michigan · 90965
Office
$523.89
Facility
$523.89
$4.61 lower than Redding for the office setting.
Rest Of Michigan
Michigan · 90965
Office
$503.95
Facility
$503.95
$24.55 lower than Redding for the office setting.
Minnesota
Minnesota · 90965
Office
$506.83
Facility
$506.83
$21.67 lower than Redding for the office setting.
Metropolitan Kansas City
Missouri · 90965
Office
$505.29
Facility
$505.29
$23.21 lower than Redding for the office setting.
Metropolitan St. Louis
Missouri · 90965
Office
$507.99
Facility
$507.99
$20.51 lower than Redding for the office setting.
Rest Of Missouri
Missouri · 90965
Office
$492.25
Facility
$492.25
$36.25 lower than Redding for the office setting.
Mississippi
Mississippi · 90965
Office
$487.37
Facility
$487.37
$41.13 lower than Redding for the office setting.
Montana**
Montana · 90965
Office
$516.00
Facility
$516.00
$12.50 lower than Redding for the office setting.
North Carolina
North Carolina · 90965
Office
$497.51
Facility
$497.51
$30.99 lower than Redding for the office setting.
North Dakota**
North Dakota · 90965
Office
$504.14
Facility
$504.14
$24.36 lower than Redding for the office setting.
Nebraska
Nebraska · 90965
Office
$490.59
Facility
$490.59
$37.91 lower than Redding for the office setting.
New Hampshire
New Hampshire · 90965
Office
$520.45
Facility
$520.45
$8.05 lower than Redding for the office setting.
Northern Nj
New Jersey · 90965
Office
$565.02
Facility
$565.02
$36.52 higher than Redding for the office setting.
Rest Of New Jersey
New Jersey · 90965
Office
$546.60
Facility
$546.60
$18.10 higher than Redding for the office setting.
New Mexico
New Mexico · 90965
Office
$506.07
Facility
$506.07
$22.43 lower than Redding for the office setting.
Nevada**
Nevada · 90965
Office
$512.87
Facility
$512.87
$15.63 lower than Redding for the office setting.
Nyc Suburbs/Long Island
New York · 90965
Office
$586.05
Facility
$586.05
$57.55 higher than Redding for the office setting.
Poughkpsie/N Nyc Suburbs
New York · 90965
Office
$551.01
Facility
$551.01
$22.51 higher than Redding for the office setting.
Queens
New York · 90965
Office
$576.55
Facility
$576.55
$48.05 higher than Redding for the office setting.
Rest Of New York
New York · 90965
Office
$501.66
Facility
$501.66
$26.84 lower than Redding for the office setting.
Ohio
Ohio · 90965
Office
$501.53
Facility
$501.53
$26.97 lower than Redding for the office setting.
Oklahoma
Oklahoma · 90965
Office
$493.53
Facility
$493.53
$34.97 lower than Redding for the office setting.
Portland
Oregon · 90965
Office
$534.87
Facility
$534.87
$6.37 higher than Redding for the office setting.
Rest Of Oregon
Oregon · 90965
Office
$509.42
Facility
$509.42
$19.08 lower than Redding for the office setting.
Metropolitan Philadelphia
Pennsylvania · 90965
Office
$532.72
Facility
$532.72
$4.22 higher than Redding for the office setting.
Rest Of Pennsylvania
Pennsylvania · 90965
Office
$501.11
Facility
$501.11
$27.39 lower than Redding for the office setting.
Puerto Rico
Puerto Rico · 90965
Office
$517.60
Facility
$517.60
$10.90 lower than Redding for the office setting.
Rhode Island
Rhode Island · 90965
Office
$525.67
Facility
$525.67
$2.83 lower than Redding for the office setting.
South Carolina
South Carolina · 90965
Office
$500.22
Facility
$500.22
$28.28 lower than Redding for the office setting.
South Dakota**
South Dakota · 90965
Office
$502.74
Facility
$502.74
$25.76 lower than Redding for the office setting.
Tennessee
Tennessee · 90965
Office
$491.42
Facility
$491.42
$37.08 lower than Redding for the office setting.
Austin
Texas · 90965
Office
$524.20
Facility
$524.20
$4.30 lower than Redding for the office setting.
Beaumont
Texas · 90965
Office
$499.44
Facility
$499.44
$29.06 lower than Redding for the office setting.
Brazoria
Texas · 90965
Office
$512.74
Facility
$512.74
$15.76 lower than Redding for the office setting.
Dallas
Texas · 90965
Office
$515.47
Facility
$515.47
$13.03 lower than Redding for the office setting.
Fort Worth
Texas · 90965
Office
$514.04
Facility
$514.04
$14.46 lower than Redding for the office setting.
Galveston
Texas · 90965
Office
$514.03
Facility
$514.03
$14.47 lower than Redding for the office setting.
Houston
Texas · 90965
Office
$525.02
Facility
$525.02
$3.48 lower than Redding for the office setting.
Rest Of Texas
Texas · 90965
Office
$505.50
Facility
$505.50
$23.00 lower than Redding for the office setting.
Utah
Utah · 90965
Office
$503.88
Facility
$503.88
$24.62 lower than Redding for the office setting.
Virginia
Virginia · 90965
Office
$507.28
Facility
$507.28
$21.22 lower than Redding for the office setting.
Virgin Islands
United States Virgin Islands · 90965
Office
$517.60
Facility
$517.60
$10.90 lower than Redding for the office setting.
Vermont
Vermont · 90965
Office
$504.46
Facility
$504.46
$24.04 lower than Redding for the office setting.
Rest Of Washington
Washington · 90965
Office
$524.45
Facility
$524.45
$4.05 lower than Redding for the office setting.
Seattle (King Cnty)
Washington · 90965
Office
$567.03
Facility
$567.03
$38.53 higher than Redding for the office setting.
Wisconsin
Wisconsin · 90965
Office
$495.09
Facility
$495.09
$33.41 lower than Redding for the office setting.
West Virginia
West Virginia · 90965
Office
$502.59
Facility
$502.59
$25.91 lower than Redding for the office setting.
Wyoming**
Wyoming · 90965
Office
$510.83
Facility
$510.83
$17.67 lower than Redding for the office setting.
See how rates vary across the country
90965 · Office / nonfacility · Non-QP. Choose a state to explore its payment localities. A range means the amount varies within that state.
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.
$482.54
$681.67
Color shows the midpoint of each state’s locality range.
View all state and territory rates as a table
| State / territory | Rate range | Localities |
|---|---|---|
| AK | $681.67 | 1 |
| AL | $486.26 | 1 |
| AR | $482.54 | 1 |
| AZ | $507.93 | 1 |
| CA | $528.50–$617.31 | 29 |
| CO | $526.38 | 1 |
| CT | $539.79 | 1 |
| DC | $566.01 | 1 |
| DE | $513.63 | 1 |
| FL | $518.70–$553.60 | 3 |
| GA | $501.67–$523.75 | 2 |
| GU | $530.72 | 1 |
| HI | $530.72 | 1 |
| IA | $489.62 | 1 |
| ID | $491.99 | 1 |
| IL | $512.65–$545.13 | 4 |
| IN | $493.43 | 1 |
| KS | $489.91 | 1 |
| KY | $495.62 | 1 |
| LA | $495.80–$508.82 | 2 |
| MA | $526.15–$559.98 | 2 |
| MD | $519.70–$566.01 | 3 |
| ME | $494.97–$507.13 | 2 |
| MI | $503.95–$523.89 | 2 |
| MN | $506.83 | 1 |
| MO | $492.25–$507.99 | 3 |
| MS | $487.37 | 1 |
| MT | $516.00 | 1 |
| NC | $497.51 | 1 |
| ND | $504.14 | 1 |
| NE | $490.59 | 1 |
| NH | $520.45 | 1 |
| NJ | $546.60–$565.02 | 2 |
| NM | $506.07 | 1 |
| NV | $512.87 | 1 |
| NY | $501.66–$586.05 | 5 |
| OH | $501.53 | 1 |
| OK | $493.53 | 1 |
| OR | $509.42–$534.87 | 2 |
| PA | $501.11–$532.72 | 2 |
| PR | $517.60 | 1 |
| RI | $525.67 | 1 |
| SC | $500.22 | 1 |
| SD | $502.74 | 1 |
| TN | $491.42 | 1 |
| TX | $499.44–$525.02 | 8 |
| UT | $503.88 | 1 |
| VA | $507.28–$566.01 | 2 |
| VI | $517.60 | 1 |
| VT | $504.46 | 1 |
| WA | $524.45–$567.03 | 2 |
| WI | $495.09 | 1 |
| WV | $502.59 | 1 |
| WY | $510.83 | 1 |
Where does this rate apply?
Redding is a Medicare payment area. Our Census mapping connects it to 32 cities and communities in California, including the examples shown here.
Some communities span more than one payment area. Follow a city link to compare all of its mapped areas, or check the service-location ZIP above for an address-level starting point.
Why are the office and facility amounts different?
For 90965 in Redding, the physician’s office rate is $528.50 and the facility-setting rate is $528.50: a difference of $0.00.
The calculation uses a different practice-expense RVU for each setting. Both amounts here are physician fee-schedule amounts. The facility figure does not include a hospital’s separate charges, so this comparison does not tell you the total cost of receiving care in each setting.
Use this rate
What is a percentage of Medicare worth?
Turn a percentage into dollars for 90965 in Redding. This uses the base rate on this page, so the locality and release stay consistent.
Reference amount per service
$581.35
$528.50 × 110% = $581.35
A contract may specify another Medicare year or additional adjustments. This is percentage arithmetic on the displayed base rate, not a claim adjudication.
Working with a whole code list?
Compare an offer across your annual code mix, including an older Medicare schedule or flat per-code rates.
How this local rate is calculated
Each RVU component is multiplied by its own geographic practice cost index (GPCI). The three adjusted components are added, then multiplied by the conversion factor. These are the inputs used for 90965 in Redding.
PPRRVU2026_Oct_nonQPP.csv
11,578
- Code
- 90965
- Physician work
- 9.80
- Practice expense
- 5.05
- Malpractice
- 0.60
GPCI2026.csv
19
- Locality
- Redding
- Physician work
- 1.017
- Practice expense
- 1.096
- Malpractice
- 0.536
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 9.80 | × 1.017 | 9.9666 |
| Practice expense | 5.05 | × 1.096 | 5.5348 |
| Malpractice | 0.60 | × 0.536 | 0.3216 |
| Total RVUs | 15.8230 | ||
| Conversion factor | × 33.4009 | ||
Office / nonfacility rate, Redding$528.50
Open 90965 in the RVU calculator →
Explore RVUs, geographic factors and the full formula
Office / nonfacility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 9.8 | 1.017 |
| Practice expense | 5.05 | 1.096 |
| Malpractice | 0.6 | 0.536 |
(9.8 × 1.017 + 5.05 × 1.096 + 0.6 × 0.536) × $33.4009 = $528.50
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 9.8 | 1.017 |
| Practice expense | 5.05 | 1.096 |
| Malpractice | 0.6 | 0.536 |
(9.8 × 1.017 + 5.05 × 1.096 + 0.6 × 0.536) × $33.4009 = $528.50
The office and facility calculations use their respective practice-expense RVUs. The facility amount here is the physician fee, not a separate hospital or facility bill.
How this rate has changed
90965 · Office / nonfacility
$528.50
Effective 2026-10-01
The base rate is $38.68 higher than on 2025-10-01, moving from $489.82 to $528.50 (7.9%).
It is unchanged from the immediately preceding available release, effective 2026-07-01.
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
January 1, 2026
RVU26A
$489.82changed to$528.50
- Conversion factor 32.3465 changed to 33.4009
- Practice expense RVU 4.44 changed to 5.05
- Malpractice RVU 0.63 changed to 0.60
- Work GPCI 1.014 changed to 1.017
- Practice expense GPCI 1.093 changed to 1.096
- Malpractice GPCI 0.560 changed to 0.536
Held through RVU26B, RVU26C, RVU26D.
January 1, 2025
RVU25A
Earliest loaded release: $489.82
Held through RVU25B, RVU25C, RVU25D.
Explore release dates and calculate this code in an earlier period →
Each row uses the accepted CMS release effective on that date and the same contractor and locality identifiers. Missing rates stay visible. Historical boundaries may differ; verify the service address for an older claim.
Inspect every release and its CMS source
90965 billing questions
How does this differ from 90964 or 90966?
Those codes represent monthly ESRD-related services for home dialysis patients in different age groups: 90964 for ages 2 through 11 and 90966 for age 20 or older. Use 90965 for ages 12 through 19.
Is this billed for each home dialysis treatment?
No. It represents monthly ESRD-related management, not an individual dialysis session.
What if the practitioner provides services for only part of the month?
Use the applicable age-specific per-day code, 90969, for a patient ages 12 through 19 when the service period is less than a full month.
What documentation supports reporting 90965?
Document the patient’s age, home-dialysis status, and the ESRD-related clinical management provided during the month.
When would 90957 be considered instead?
90957 is in the age 12-through-19 ESRD monthly service series based on monthly visit count, rather than the home-dialysis series. Choose the code family that matches the patient’s dialysis situation and services.
Where these rates come from
FeeBase calculates base physician payments from CMS work, practice-expense, and malpractice RVUs, adjusted by each locality’s geographic indices and the applicable conversion factor. Unavailable or separately priced services are labeled rather than assigned a made-up amount.
Source: RVU26D. Effective 2026-10-01 through the day before 2027-01-01.
