No office rate
Both describe hemodialysis treatment-level services. Choose 90935 for one evaluation and 90937 when repeated evaluations are required.
On this page
CMS RVU26D · Effective 2026-10-01
90935 Hemodialysis Medicare reimbursement rates in Ohio
Reports a hemodialysis treatment when a physician or qualified health professional evaluates the patient once during the treatment. Compare 90935 office and facility rates across CMS payment localities in Ohio.
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.
What does Medicare pay for 90935 in Ohio?
Ohio has 1 payment locality in this comparison. Use the service location to choose the applicable amount. These are the supported base rates for the payment area shown below, using the same CMS release.
Office / nonfacility
No supported rate
Facility setting
$60.55
1 of 1 localities have a supported rate.
Payment area: Ohio
One mapped payment locality.
These are locality ranges, not averages or address-specific quotes. A facility-setting amount covers the physician service; it does not include a hospital’s separate bill. Choose a locality below to inspect its calculation, compare other payment areas, or price a percentage of Medicare.
Dialysis services
About 90935: Hemodialysis treatment with single evaluation
Reports a hemodialysis treatment when a physician or qualified health professional evaluates the patient once during the treatment.
CPT 90935 describes a hemodialysis treatment with one evaluation of the patient by a physician or other qualified health professional. Nephrologists commonly report it for a treatment in a hospital or dialysis facility when they assess the patient during hemodialysis and manage the treatment based on that assessment. It represents treatment-level care, rather than monthly ESRD management.
Report 90935 for the treatment when the clinician performs one evaluation; use 90937 when repeated evaluations are required. The record should identify the hemodialysis treatment, document the clinician’s evaluation and management, and support the number of evaluations. CMS assigns a 0-day global period, so same-day preoperative and postoperative care is included. Modifier 50 is inappropriate for this service. CMS allows assistant-at-surgery payment only with documented medical necessity and does not permit co-surgeon or team-surgery billing.
CMS billing rules for 90935
- Global period
- Minor procedure with a 0-day global period: same-day preoperative and postoperative care is included.
- Bilateral procedures
- Bilateral adjustment does not apply; the descriptor or anatomy makes modifier 50 inappropriate.
- Assistant at surgery
- Assistant at surgery is paid only with documentation of medical necessity.
- Co-surgeons
- Co-surgeons not permitted.
- Team surgery
- Team surgery not permitted.
Where the value comes from
- Work RVU1.44 · 78%
- Practice expense (office) RVU0.32 · 17%
- Malpractice RVU0.08 · 4%
507.4K
Medicare services in 2024 · #230 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.
90935 compared with similar codes
Office rates for Ohio, from the same CMS release.
No office rate
90945 describes a single-evaluation dialysis procedure other than hemodialysis; 90935 is specific to hemodialysis.
No office rate
90947 is for a dialysis procedure other than hemodialysis when repeated evaluations are required. 90935 is for hemodialysis with one evaluation.
Compare 90935 by payment locality
Find the payment area for your service address, then open its rate page for calculation inputs, release history and the percentage-of-Medicare tool. A city may cross payment-area boundaries; the ZIP lookup above helps resolve the location.
1 of 1 payment localities
Ohio →
Office / nonfacility
Unavailable
Facility
$60.55
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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 90935 in Ohio.
PPRRVU2026_Oct_nonQPP.csv
11,559
- Code
- 90935
- Physician work
- 1.44
- Practice expense
- 0.32
- Malpractice
- 0.08
GPCI2026.csv
85
- Locality
- Ohio
- Physician work
- 1.000
- Practice expense
- 0.913
- Malpractice
- 1.008
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 1.44 | × 1.000 | 1.4400 |
| Practice expense | 0.32 | × 0.913 | 0.2922 |
| Malpractice | 0.08 | × 1.008 | 0.0806 |
| Total RVUs | 1.8128 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Ohio$60.55
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 1.44 | 1 |
| Practice expense | 0.32 | 0.913 |
| Malpractice | 0.08 | 1.008 |
(1.44 × 1 + 0.32 × 0.913 + 0.08 × 1.008) × $33.4009 = $60.55
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.
90935 billing questions
When should 90935 be chosen over 90937?
Use 90935 when the clinician evaluates the patient once during the hemodialysis treatment. Use 90937 when repeated evaluations are required during that treatment.
How does 90935 differ from 90945?
90935 is for hemodialysis with one evaluation. 90945 is for a dialysis procedure other than hemodialysis with one evaluation.
What documentation supports 90935?
Document the hemodialysis treatment, the clinician’s evaluation and management, and that one evaluation occurred during the treatment.
Are units based on evaluations or treatments?
Report the service for the hemodialysis treatment with one evaluation, not once for each element of the clinician’s assessment.
Can modifier 50 be appended?
No. CMS identifies modifier 50 as inappropriate for this service.
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.
11,55690901,,Biofeedback train any meth,A,,0.41,0.81,,0.07,,0.01,1.23,0.49,0,000,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
11,55790912,,Bfb training 1st 15 min,A,,0.90,1.51,,0.17,,0.05,2.46,1.12,0,000,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
11,55890913,,Bfb training ea addl 15 min,A,,0.50,0.45,,0.10,,0.03,0.98,0.63,0,ZZZ,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
11,55990935,,Hemodialysis one evaluation,A,,1.44,0.32,NA,0.32,,0.08,1.84,1.84,0,000,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
11,56090937,,Hemodialysis repeated eval,A,,2.06,0.46,NA,0.46,,0.13,2.65,2.65,0,000,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
11,56190940,,Hemodialysis access study,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,9,,33.4009,09,0,99,0.00,0.00,0.00
11,56290945,,Dialysis one evaluation,A,,1.52,0.70,NA,0.70,,0.09,2.31,2.31,0,000,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
8213282,NY,99,REST OF NEW YORK,1.000,0.950,0.703
8311502,NC,00,NORTH CAROLINA,1.000,0.933,0.639
8403302,ND,01,NORTH DAKOTA**,1.000,1.000,0.406
8515202,OH,00,OHIO,1.000,0.913,1.008
8604312,OK,00,OKLAHOMA,1.000,0.893,0.777
8702302,OR,01,PORTLAND,1.016,1.111,0.744
8802302,OR,99,REST OF OREGON,1.000,0.996,0.703