CPT / HCPCS code · 2026 CMS data · Verified 2026-08-31
CPT 90935 RVU and Medicare Payment (2026)
Hemodialysis one evaluation — 1.44 work RVU, about $61.46 non-facility Medicare payment at the 2026 conversion factor.
- Work RVU
- 1.44
- PE RVU (non-facility)
- 0.32
- PE RVU (facility)
- 0.32
- MP RVU
- 0.08
- Office payment
- $61.46
- Facility payment
- $61.46
How the payment is calculated
Total RVU is work plus practice expense plus malpractice, each adjusted by its GPCI factor, then multiplied by the conversion factor. For 90935 in a non-facility setting with national GPCI: (1.44 + 0.32 + 0.08) × $33.4009 ≈ $61.46. The same code in a facility setting pays about $61.46 because facility PE RVU (0.32) replaces office PE RVU.
What changes by locality
GPCI moves 90935 non-facility payment from $58.65 to $85 across CMS localities — from Arkansas to Alaska. Check your exact locality in the GPCI calculator rather than using a state average.
Related codes
Checking a different code or locality? Open the full RVU calculator to run any of the 7,790 CPT/HCPCS codes with your own GPCI factors.
Frequently asked questions
What is the 2026 work RVU for CPT 90935?
1.44. Work RVU measures physician time, skill, and intensity — it does not change by setting or locality. Total payment adds practice expense and malpractice RVUs plus the conversion factor.
How much does Medicare pay for CPT 90935 in 2026?
About $61.46 non-facility ($61.46 facility) at national GPCI with the 2026 $33.4009 conversion factor. Your locality GPCI moves the number — see the range above.
Does the work RVU change between office and facility?
No. Work RVU (1.44) and malpractice RVU stay fixed; only practice expense changes (0.32 office vs 0.32 facility). That is the entire office-vs-facility payment gap.