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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.

90964

ESRD services

Home dialysis, ages 2–11

$546.71

Use 90964 for home-dialysis patients ages 2 through 11; 90965 is for ages 12 through 19.

90966

Home dialysis

Monthly, age 20 and older

$318.78

Use 90966 for home-dialysis patients age 20 or older; 90965 is for ages 12 through 19.

90969

Daily ESRD care

Ages 12-19

$17.79

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

ESRD monthly care

Age 12–19, four or more visits

$814.33

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

  1. Redding · This locality

    $528.50

  2. $2.12 higher than Redding

  3. Chico

    $528.50

    The same base rate than Redding

  4. El Centro

    $528.60

    $0.10 higher than Redding

  5. Fresno

    $528.50

    The same base rate than Redding

  6. The same base rate than Redding

  7. $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 / territoryRate rangeLocalities
AK$681.671
AL$486.261
AR$482.541
AZ$507.931
CA$528.50–$617.3129
CO$526.381
CT$539.791
DC$566.011
DE$513.631
FL$518.70–$553.603
GA$501.67–$523.752
GU$530.721
HI$530.721
IA$489.621
ID$491.991
IL$512.65–$545.134
IN$493.431
KS$489.911
KY$495.621
LA$495.80–$508.822
MA$526.15–$559.982
MD$519.70–$566.013
ME$494.97–$507.132
MI$503.95–$523.892
MN$506.831
MO$492.25–$507.993
MS$487.371
MT$516.001
NC$497.511
ND$504.141
NE$490.591
NH$520.451
NJ$546.60–$565.022
NM$506.071
NV$512.871
NY$501.66–$586.055
OH$501.531
OK$493.531
OR$509.42–$534.872
PA$501.11–$532.722
PR$517.601
RI$525.671
SC$500.221
SD$502.741
TN$491.421
TX$499.44–$525.028
UT$503.881
VA$507.28–$566.012
VI$517.601
VT$504.461
WA$524.45–$567.032
WI$495.091
WV$502.591
WY$510.831

Explore 90965 on the national rate map →

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.

See the inputs behind this difference →

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.

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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
Office / nonfacility calculation for 90965 in Redding
ComponentRVULocality factorAdjusted
Physician work9.80× 1.0179.9666
Practice expense5.05× 1.0965.5348
Malpractice0.60× 0.5360.3216
Total RVUs15.8230
Conversion factor× 33.4009

Office / nonfacility rate, Redding$528.50

Values as parsed from CMS release RVU26D, effective 2026-10-01. The amount is rounded to the nearest cent only at the end.

Open 90965 in the RVU calculator →

Explore RVUs, geographic factors and the full formula

Office / nonfacility

Office / nonfacility calculation inputs
ComponentRVULocal GPCI
Work9.81.017
Practice expense5.051.096
Malpractice0.60.536

(9.8 × 1.017 + 5.05 × 1.096 + 0.6 × 0.536) × $33.4009 = $528.50

Facility

Facility calculation inputs
ComponentRVULocal GPCI
Work9.81.017
Practice expense5.051.096
Malpractice0.60.536

(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.

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

    $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.

  2. 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
Effective fromOffice / nonfacilityFacilityCMS release
2026-10-01$528.50$528.50RVU26D
2026-07-01$528.50$528.50RVU26C
2026-04-01$528.50$528.50RVU26B
2026-01-01$528.50$528.50RVU26A
2025-10-01$489.82$489.82RVU25D
2025-07-01$489.82$489.82RVU25C
2025-04-01$489.82$489.82RVU25B
2025-01-01$489.82$489.82RVU25A

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.

RVUs for 90965PPRRVU2026_Oct_nonQPP.csv, line 11,578 (RVU26D)
Geographic factors for ReddingGPCI2026.csv, line 19 (RVU26D)